LUTATHERA A Code: A9513

NDC Code Information

1 NDC package is crosswalked to A9513. Package detail is available to logged-in subscribers.

LUTATHERA Pricing & Reimbursement

A9513 Private Payer Reimbursement

$328.84 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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LUTATHERA Claims Performance

Claims from Jan 2026 – Aug 2026

Claim Denial Rate 22.64%

Avg. Days to File 29.0days

Avg. Days to Pay 48.2days

Real-world claims performance from FocalPoint, OnPoint Oncology's reimbursement analytics platform, with claims data accrued at the clearing house level.

Explore A9513 claims analytics on FocalPoint →

LUTATHERA 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.

LUTATHERA Medically Unlikely Edits (MUE)

The most billing units of A9513 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 mci.

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 →

LUTATHERA Clinical Information

Indications and drug classification.

Frequently Asked Questions