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A9500 - Tc99m sestamibi

Navigation: HCPCS Codes > Codes with Prefix: A9
Field Value
HCPCS Code: A9500
Long Description: Technetium tc-99m sestamibi, diagnostic, per study dose
Short Description: Tc99m sestamibi
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: 01-01-1996
Action Effective Date: 01-01-2010
Action Code: N (No maintenance for this code)