HCPCS code A9516 — Iodine i-123 sod iodide mic. Status: Active. Effective Jan 1, 2008. Source: CMS HCPCS Level II.

A9516

Active

Iodine i-123 sod iodide mic

Iodine i-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries

Category: Transportation & Supplies
Section: A-codes: Transportation, Medical & Surgical Supplies
Effective: Jan 1, 2008
Code type: alphanumeric
OPPS Status: N — Items / services packaged into APC rates

MUE — Medically Unlikely Edits

Maximum units of A9516 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 4
Practitioner Services 4

Source: CMS Medicare NCCI Medically Unlikely Edits