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.
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 code | Short description | Modifier indicator | |
|---|---|---|---|
38792 | Ra tracer id of sentinl node | 0 | Check pair |
78018 | Thyroid met imaging body | 0 | Check pair |
78195 | Lymph system imaging | 0 | Check pair |
78452 | Ht muscle image spect mult | 0 | Check pair |
78707 | K flow/funct image w/o drug | 0 | Check pair |
78725 | Kidney function study | 0 | Check 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.