Skip to main content

HCPCS/CPT A9528, Iodine i-131 sodium iodide capsule(s), diagnostic, per millicurie | No Prior Auth

Backwork Sign up free

Ask Backwork/A9528

`A9528`, Iodine i-131 sodium iodide capsule(s), diagnostic, per 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

10459(1 policies)

77750(1 policies)

78012(1 policies)

78013(1 policies)

78014(1 policies)

78015(1 policies)

78016(1 policies)

10017(1 policies)

Have a follow-up question?

Ask Backwork about documentation requirements, denial risks, or coverage in your state.

Ask Backwork about A9528 Sign up free