C9407 HCPCS code: Iodine i-131 iobenguane, diagnostic, 1 millicurie
C9407 is the HCPCS Level II code for iodine i-131 iobenguane, diagnostic, 1 millicurie. CMS terminated C9407 on 2019-12-31; do not bill it for later dates of service. Its Medicare coverage code is D (Special coverage instructions apply): Medicare covers it when its national or local coverage criteria are met.
Code details
| Field | Value |
|---|---|
| Section | C codes — Outpatient PPS (hospital outpatient temporary codes) |
| Coverage code | D — Special coverage instructions apply |
| Pricing indicator | 53 |
| BETOS category | I1E |
| Added | 2019-01-01 |
| Last action effective | 2020-01-01 |
| Terminated | 2019-12-31 |
What changed for C9407
- 2019-01-01: C9407 added to HCPCS Level II
- Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01
Frequently asked questions
What is HCPCS code C9407?
C9407 is the HCPCS Level II code for iodine i-131 iobenguane, diagnostic, 1 millicurie. Short descriptor: "Iodine i-131 iobenguane, dx".
Does Medicare cover C9407?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
Related C94 codes
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Next steps
- Run a reimbursement report for a device billed under C9407
- Watch C9407 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for C9407
Sources: CMS HCPCS Level II release October 2026; CMS DMEPOS fee schedule; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.