A9603 Injection, pafolacianine, 0.1 milligrams
Also known as: Lumicell, pafolacianine
Pafolacianine hydrochloride injection at 0.1 milligram concentration used as a fluorescent imaging agent for surgical guidance.
In Plain Language
surgical fluorescence imaging dye; tumor detection fluorophore
Clinical Context
Used as an intraoperative fluorescent imaging agent to help surgeons identify and visualize cancerous tissue during surgical procedures.
RVU Information
CPT A9603 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
Frequently Asked Questions
What is CPT code A9603?
CPT A9603 (Injection, pafolacianine, 0.1 milligrams) is a A Codes code. Pafolacianine hydrochloride injection at 0.1 milligram concentration used as a fluorescent imaging agent for surgical guidance.
Does Medicare cover A9603?
Medicare coverage for A9603 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Used as an intraoperative fluorescent imaging agent to help surgeons identify and visualize cancerous tissue during surgical procedures. A physician order is typically required.
When is CPT A9603 used?
Used as an intraoperative fluorescent imaging agent to help surgeons identify and visualize cancerous tissue during surgical procedures.
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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.