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HCPCS/CPT A9508, Iodine i-131 iobenguane sulfate, diagnostic, per 0.5 millicurie | No Prior Auth

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`A9508`, Iodine i-131 iobenguane sulfate, diagnostic, per 0.5 millicurie

HCPCS/CPT

Prior Authorization

No Prior Auth Required

Code is covered without prior authorization (high confidence)

Medicare Pricing

Work RVU

0.00

Facility

N/A

Non-Facility

N/A

Key Coverage Criteria

Indication: Strontium-89 is medically necessary for symptomatic bone metastases when both: (1) Confirmed osteoblastic bone metastases from solid organ cancer; (2) Pain not adequately controlled by conventional therapy.

1 Active Policy

CARELON-theranostics-therapeutic-radiopharmaceuticals-2026-04-04, Theranostics Therapeutic Radiopharmaceuticals

Related Codes

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77750(1 policies)

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10017(1 policies)

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