Home Drug Codes A Codes A9548 · Indium In 111 DTPA
Updated July 1st, 2026

Indium In 111 DTPA A Code: A9548

Indium in-111 pentetate, diagnostic, per 0.5 millicurie

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Medicare Payment Limit ?
Not published
CMS publishes none for Q3 2026
APC Payment Limit ?
$745.62
/ HCPCS billing unit · APC 0771
ASP ?
No current ASP
Not available for Q3 2026
WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
1
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Drug & Product Overview

HCPCS Descriptor Indium in-111 pentetate, diagnostic, per 0.5 millicurie
HCPCS Added Date January 1, 2006
Manufacturer GE Healthcare
Route of Administration Intrathecal
Generic Status Single-Source; Branded
Dosage Form Solution

About Indium In 111 DTPA

Indium in 111 DTPA is a medication aligned to the HCPCS A Code: A9548 for billing, pricing, and reimbursement purposes in the United States. Classified under Imaging/Radiopharmaceutical, it is administered via the intrathecal route and manufactured by GE Healthcare.

Manufacturers, reach out to us to add more information.

NDC Code Information

1 NDC package is crosswalked to A9548. Package detail is available to logged-in subscribers.

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Indium In 111 DTPA Pricing & Reimbursement

A9548 Private Payer Reimbursement
$888.80 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

Indium In 111 DTPA CPT Administration Codes

The below list of CPT codes is intended for informational purposes only and may not be exhaustive. CPT® codes and descriptions are copyright American Medical Association (AMA). All rights reserved.

CPT Code Description
78630 Cerebrospinal fluid flow, imaging (cisternography).
78635 Cerebrospinal ventriculography.
78645 Login for More Cerebrospinal fluid shunt evaluation (patency study). Login for More
78650 Login for More CSF leakage detection and localization. Login for More
78647 Login for More Cerebrospinal fluid scan, tomographic (SPECT). Login for More
Not on the CMS JW / JZ list

CMS does not include Indium in 111 DTPA (A9548) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing A9548. Wastage billing guide →

Indium In 111 DTPA Medically Unlikely Edits (MUE)

The most billing units of A9548 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 0.5 millicuries.

Practitioner Office & Hospital Outpatient
2 units / day
= 1 millicuries per day

MAI 3 · Date of Service Edit: Clinical. Per-day limit based on clinical expectations; excess units are denied but may be appealed with documentation of medical necessity. See all MUE limits →

millicuries Enter a dose to see how many billing units it is and whether it is under the limit.

Indium In 111 DTPA Clinical Information

Indications and drug classification.

Treated Diseases & Conditions

This list of indications is not exhaustive and may be subject to errors. The information on BuyandBill.com is intended for informational purposes only and should not be used for medical advice.

Radionuclide Cisternography
Drug Class
Radioactive Diagnostic Agent [EPC]Radiopharmaceutical Activity [MoA]

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Frequently Asked Questions

Is there an available Indium In 111 DTPA billing and coding guide?
We have not yet identified a manufacturer source of Indium In 111 DTPA billing and coding information.
Are there any available Indium In 111 DTPA patient assistance programs?
Our team did not identify a source for Indium In 111 DTPA patient assistance information. Please reach out to our team if you feel that this is a mistake.
Where can I find Indium In 111 DTPA prescribing information?
Indium In 111 DTPA prescribing information can be found at the link below.
Where can I find Indium In 111 DTPA side effect information?
Our team has not yet identified a source of side effects information for Indium In 111 DTPA.
Does billing Indium In 111 DTPA require JZ/JW wastage modifiers?
This product is new and does not yet appear on the CMS list of HCPCS pertaining to single-dose containers.

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