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A9542 In111 ibritumomab, diagnosis

A Codes

Also known as: Zevalin diagnostic, ibritumomab, In-111 ibritumomab

Indium In-111 ibritumomab tiuxetan injection used diagnostically for imaging B-cell lymphomas.

In Plain Language

lymphoma imaging dye; cancer detection tracer

Clinical Context

Used in diagnostic nuclear oncology for imaging of B-cell lymphomas to assess extent of disease.

RVU Information

CPT A9542 does not have a physician work RVU assigned by CMS. This is typical for supply, drug, and equipment codes — reimbursement is based on Average Sales Price (ASP), fee schedules, or payer contracts rather than the RVU system.

Billing & Documentation

HCPCS A-codes cover medical supplies, equipment, and transport services. Documentation must establish medical necessity and include a physician order. For durable medical equipment (DME), a Certificate of Medical Necessity (CMN) or detailed written order may be required.

Specialties

Nuclear MedicineOncologyHematology

Frequently Asked Questions

What is CPT code A9542?

CPT A9542 (In111 ibritumomab, diagnosis) is a A Codes code. Indium In-111 ibritumomab tiuxetan injection used diagnostically for imaging B-cell lymphomas.

Does Medicare cover A9542?

Medicare coverage for A9542 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Used in diagnostic nuclear oncology for imaging of B-cell lymphomas to assess extent of disease. A physician order is typically required.

When is CPT A9542 used?

Used in diagnostic nuclear oncology for imaging of B-cell lymphomas to assess extent of disease.

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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.