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April 2020

A9590 replaces A9699 and C9399 when billing for Azedra

The Centers for Medicare & Medicaid Services has an established permanent HCPCS procedure code for radiopharmaceutical medical drug Azedra (iodine i-131, iobenguane, 1 millicurie).

All services performed on and after Jan. 1, 2020, must be reported with procedure code A9590. This code replaces A9699 and C9399 when billing for Azedra.

The National Drug Codes are 71258-0015-02 and 71258-0015-22.

Azedra (iodine i-131, iobenguane, 1 millicurie) continues to be covered for the Food and Drug Administration-approved indications.

Pharmacy doesn’t require preauthorization for this drug.

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*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2019 American Medical Association. All rights reserved.