A9604 Sm 153 lexidronam

Full Description

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

Code
A9604
Short Description
Sm 153 lexidronam
Section
A — Transportation Services and Medical Supplies
Pricing Indicator
57
Source: CMS HCPCS October 2026 quarterly release.

Last reviewed: September 2026