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A9527 Iodine i-125 sodium iodide

What A9527 is

Iodine i-125, sodium iodide solution, therapeutic, per millicurie

HCPCS Level II long description, CMS October 2026 file. See the A codes page for the full section.

Medicare payment for A9527 (CY2026)

This code has no Physician Fee Schedule rate: Carrier-priced - the Medicare contractor sets the price. It may be paid under a different fee schedule (clinical laboratory, DMEPOS, anesthesia) or not paid at all - check the relevant CMS schedule.

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Medically Unlikely Edit (MUE)

Medicare caps A9527 at 195 units per date of service for practitioner claims (MAI 3 - date of service edit (clinical): units above the MUE may pay with documentation on appeal), rationale: Prescribing Information. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.

A9527 is bundled into these codes

A9527 appears as a Column 2 code in 6 active edits. Reported with one of these Column 1 codes on the same date of service, A9527 is the code that denies.

Column 1 codeShort descriptionModifier indicator
38792Ra tracer id of sentinl node0Check pair
78018Thyroid met imaging body0Check pair
78195Lymph system imaging0Check pair
78452Ht muscle image spect mult0Check pair
78707K flow/funct image w/o drug0Check pair
78725Kidney function study0Check pair

Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.