QUADRAMET A Code: A9604
Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries
Drug & Product Overview
About QUADRAMET
Quadramet is a medication aligned to the HCPCS A Code: A9604 for billing, pricing, and reimbursement purposes in the United States. It is an Imaging/Radiopharmaceutical drug administered via the intravenous route and manufactured by Lantheus.
Manufacturers, reach out to us to add more information.
NDC Code Information
1 NDC package is crosswalked to A9604. Package detail is available to logged-in subscribers.
| NDC Code | Drug | Manufacturer | Billing Units / Pkg | Package Size |
|---|---|---|---|---|
| •••••-••••-•• Log in to view | QUADRAMET | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
QUADRAMET 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 |
|---|---|
| 79101 | Radiopharmaceutical therapy, by intravenous administration |
CMS does not include Quadramet (A9604) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing A9604. Wastage billing guide →
QUADRAMET Medically Unlikely Edits (MUE)
The most billing units of A9604 Medicare will pay for one patient in one day, as published by CMS. 1 unit = up to 150 millicuries.
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 →
QUADRAMET Clinical Information
Indications and drug classification.
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.
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Frequently Asked Questions
Is there an available Quadramet billing and coding guide?
Are there any available Quadramet patient assistance programs?
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Where can I find Quadramet side effect information?
Does billing QUADRAMET require JZ/JW wastage modifiers?
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