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HCPCS Level II · Outpatient PPS (temporary codes)

C9031Lutetium lu 177, dotatate, therapeutic, 1 mci

Terminated 12/31/2018

Source: CMS HCPCS quarterly update, October 2026. Page updated September 29, 2026.

About C9031

C9031 is an HCPCS Level II code in the C series (outpatient PPS (temporary codes)), describing lutetium lu 177, dotatate, therapeutic, 1 mci.

It was added to HCPCS effective 07/01/2018, and its current record took effect 01/01/2019.

It was terminated on 12/31/2018 and can't be billed for later dates of service.

Its Medicare coverage code is "D", meaning special Medicare coverage instructions apply.

Details

Short description
Lutetium lu 177 dotatate, tx
Date added
07/01/2018
Action effective
01/01/2019
Termination date
12/31/2018
BETOS
O1D

Related C90xx codes

Common questions about C9031

Is HCPCS C9031 still valid?

No. C9031 was terminated on 12/31/2018.

Does Medicare cover C9031?

Its coverage code is "D": special Medicare coverage instructions apply. Check the local coverage determination for your region.