HCPCS code A9500 — Tc99m sestamibi. Status: Active. Effective Jan 1, 2010. Source: CMS HCPCS Level II.

A9500

Active

Tc99m sestamibi

Technetium tc-99m sestamibi, diagnostic, per study dose

Category: Transportation & Supplies
Section: A-codes: Transportation, Medical & Surgical Supplies
Effective: Jan 1, 2010
Code type: alphanumeric
OPPS Status: N — Items / services packaged into APC rates

MUE — Medically Unlikely Edits

Maximum units of A9500 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.

Service Type Max Units / Day
Outpatient Hospital 3
Practitioner Services 3

Source: CMS Medicare NCCI Medically Unlikely Edits

NCCI Edits

The following codes cannot be billed together with A9500 without appropriate documentation.

Column 2 Code Modifier
A9512 Modifier may bypass edit

Source: CMS National Correct Coding Initiative (NCCI)