ZEVALIN A Code: A9543
Yttrium y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up to 40 millicuries
Drug & Product Overview
About ZEVALIN
Zevalin is a medication aligned to the HCPCS A Code: A9543 for billing, pricing, and reimbursement purposes in the United States. This Imaging/Radiopharmaceutical medication is administered via the intravenous route and manufactured by Acrotech Biopharma.
Manufacturers, reach out to us to add more information.
NDC Code Information
1 NDC package is crosswalked to A9543. Package detail is available to logged-in subscribers.
| NDC Code | Drug | Manufacturer | Billing Units / Pkg | Package Size |
|---|---|---|---|---|
| •••••-••••-•• Log in to view | ZEVALIN | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
ZEVALIN Pricing & Reimbursement
National median reimbursement across major commercial payers.
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ZEVALIN 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 Zevalin (A9543) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing A9543. Wastage billing guide →
ZEVALIN Medically Unlikely Edits (MUE)
The most billing units of A9543 Medicare will pay for one patient in one day, as published by CMS. 1 unit = up to 40 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 →
ZEVALIN 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 Zevalin billing and coding guide?
Are there any available Zevalin patient assistance programs?
Where can I find Zevalin prescribing information?
Where can I find Zevalin side effect information?
Does billing ZEVALIN require JZ/JW wastage modifiers?
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