HCPCS code A9512 — Tc99m pertechnetate.
Status: Active.
Effective Jan 1, 2006.
Source: CMS HCPCS Level II.
A9512
ActiveTc99m pertechnetate
Technetium tc-99m pertechnetate, diagnostic, per millicurie
Category:
Transportation & Supplies
Section:
A-codes: Transportation, Medical & Surgical Supplies
Effective:
Jan 1, 2006
Code type:
alphanumeric
OPPS Status:
N
— Items / services packaged into APC rates
MUE — Medically Unlikely Edits
Maximum units of A9512 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 | 30 |
| Practitioner Services | 30 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NCCI Edits — Reverse Direction
A9512 cannot be billed together with the following column 1 codes without appropriate documentation.
| Column 1 Code | Modifier |
|---|---|
| A9500 | Modifier may bypass edit |
| A9501 | Modifier cannot bypass edit |
| A9502 | Modifier cannot bypass edit |
| A9503 | Modifier cannot bypass edit |
| A9504 | Modifier cannot bypass edit |
| A9510 | Modifier cannot bypass edit |
| A9521 | Modifier cannot bypass edit |
| A9536 | Modifier cannot bypass edit |
| A9537 | Modifier cannot bypass edit |
| A9538 | Modifier cannot bypass edit |
| A9539 | Modifier cannot bypass edit |
| A9540 | Modifier may bypass edit |
| A9541 | Modifier may bypass edit |
| A9550 | Modifier cannot bypass edit |
| A9551 | Modifier cannot bypass edit |
| A9557 | Modifier cannot bypass edit |
| A9560 | Modifier cannot bypass edit |
| A9561 | Modifier cannot bypass edit |
| A9562 | Modifier cannot bypass edit |
| A9566 | Modifier cannot bypass edit |
| A9567 | Modifier cannot bypass edit |
| A9568 | Modifier cannot bypass edit |
| A9569 | Modifier cannot bypass edit |
Source: CMS National Correct Coding Initiative (NCCI)