| HCPCS Code: |
Q9969 |
| Long Description: |
Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose |
| Short Description: |
Non-heu tc-99m add-on/dose |
| Pricing Indicator 1: |
53 (Statute) |
| Multiple Pricing Code: |
A (Not applicable as HCPCS priced under one methodology) |
| Statute Number: |
|
| Coverage Code: |
D (Special coverage instructions apply) |
| ASC Payment Group Code: |
|
| Processing Note Number: |
0179 |
| Berenson-Eggers Type of Service (BETOS) Code: |
Y1 (Other - Medicare fee schedule) |
| Type of Service Code 1: |
9 (Other medical items or services) |
| Anesthesia Base Unit Quality: |
0 |
| Code Added: |
01-01-2013 |
| Action Effective Date: |
01-01-2013 |
| Action Code: |
N (No maintenance for this code) |
