{
    "code": "A4642",
    "coding_system": "HCPCS",
    "canonical_url": "https://localishealth.com/hcpcs/A4642",
    "release_specific_url": "https://localishealth.com/hcpcs/A4642/2026/C",
    "description": "In111 satumomab",
    "answer": {
        "question": "What is the Medicare allowed amount for HCPCS A4642?",
        "text": "HCPCS A4642 carries status C (carrier-priced) in the Q3 2026 release, so there is no single national rate—Medicare contractors publish their own amounts. Your Medicare Administrative Contractor prices this code case by case, usually after reviewing documentation. Contractor-published amounts on file range $1,695.16 across 11 localities; enter a ZIP for the exact local amount."
    },
    "release": {
        "schedule": "pfs",
        "year": 2026,
        "quarter": "C",
        "label": "Q3 2026",
        "effective": "July 1 – September 30, 2026",
        "revision": 1
    },
    "status": {
        "code": "C",
        "non_facility_payable": false,
        "facility_payable": false
    },
    "national_rates_usd": {
        "office_non_facility": null,
        "facility": null,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": null,
        "practice_expense_non_facility": null,
        "practice_expense_facility": null,
        "malpractice": null
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 33.4009,
    "ncci": {
        "release": "Q3 2026",
        "never_billable_pair_count": 11,
        "modifier_allowed_pair_count": 2,
        "mue_units_per_date_of_service": null,
        "url": "https://localishealth.com/hcpcs/A4642/ncci-edits",
        "complete_text_url": "https://localishealth.com/hcpcs/A4642/ncci-edits.txt"
    },
    "source": {
        "label": "Physician relative value file (Q3 2026)",
        "cms_url": "https://www.cms.gov/files/zip/rvu26c-updated-06-30-2026.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2026/C",
        "file": "PPRRVU2026_Jul_nonQPP.csv",
        "row": 13471,
        "sha256": "b7d197e73211ef6854c213c267d5fa9dec8df995db8e1ee7d44c0556ad7cee21"
    },
    "modified_at": "2026-09-14T06:28:28+00:00"
}