Home Drug Codes A Codes A9604 · QUADRAMET
Updated July 1st, 2026

QUADRAMET A Code: A9604

Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries

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Medicare Payment Limit ?
Not published
CMS publishes none for Q3 2026
APC Payment Limit ?
$3,159.80
/ HCPCS billing unit · APC 1295
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 Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries
HCPCS Added Date January 1, 2010
Manufacturer Lantheus
Route of Administration Intravenous
Generic Status Single-Source; Branded

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.

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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
Not on the CMS JW / JZ list

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.

Practitioner Office & Hospital Outpatient
1 unit / day
Same limit in both settings

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.

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.

Management of bone pain

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Frequently Asked Questions

Is there an available Quadramet billing and coding guide?
Billing and coding information for QUADRAMET can be found through Lantheus. Visit Here →
Are there any available Quadramet patient assistance programs?
Our team has not identified a manufacturer-published source of patient assistance information for QUADRAMET.
Where can I find Quadramet prescribing information?
QUADRAMET prescribing information can be found at the link below: Visit Here →
Where can I find Quadramet side effect information?
Our team has not yet identified a source of side effects information for QUADRAMET. Please check back in a few weeks.
Does billing QUADRAMET require JZ/JW wastage modifiers?
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. For more information, visit the link below.

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