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Code deleted. See Q9982.

Official Description

Flutemetamol f18, diagnostic, per study dose, up to 5 millicuries
Short Descr Flutemetamol f18
Coverage Special coverage instructions apply
Pricing Indicator(s) 53 – Statute
MPI A – Not applicable, as HCPCS priced under one methodology
Statute 1833(t)
Cross-Reference(s) Q9982
BETOS O1E – Other drugs
TOS Code(s) 4 – Diagnostic radiology
Added Date 1/1/2016
Termination Date 6/30/2016
APC Status Indicator Pass-Through Drugs and Biologicals
MUE Not applicable/unspecified.
MUE Not applicable/unspecified.
OTS Orthotic No
Date
Action
Notes
2016-07-01 Deleted Code deleted. See Q9982.
2016-01-01 Added Added
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