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A9504 - Tc99m apcitide

Navigation: HCPCS Codes > Codes with Prefix: A9
Field Value
HCPCS Code: A9504
Long Description: Technetium tc-99m apcitide, diagnostic, per study dose, up to 20 millicuries
Short Description: Tc99m apcitide
Pricing Indicator 1: 57 (Other carrier priced)
Multiple Pricing Code: A (Not applicable as HCPCS priced under one methodology)
Statute Number:
Coverage Code: C (Carrier judgment)
ASC Payment Group Code:
Processing Note Number:
Berenson-Eggers Type of Service (BETOS) Code: I1E (Standard imaging - nuclear medicine)
Type of Service Code 1: 4 (Diagnostic radiology)
Anesthesia Base Unit Quality: 0
Code Added: 01-01-2000
Action Effective Date: 01-01-2006
Action Code: N (No maintenance for this code)