HCPCS code A9502 — Tc99m tetrofosmin. Status: Active. Effective Jan 1, 2009. Source: CMS HCPCS Level II.

A9502

Active

Tc99m tetrofosmin

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

Category: Transportation & Supplies
Section: A-codes: Transportation, Medical & Surgical Supplies
Effective: Jan 1, 2009
Code type: alphanumeric
OPPS Status: N — Items / services packaged into APC rates

MUE — Medically Unlikely Edits

Maximum units of A9502 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 A9502 without appropriate documentation.

Column 2 Code Modifier
A9512 Modifier cannot bypass edit

Source: CMS National Correct Coding Initiative (NCCI)