HCPCS code A9520 — Tc99 tilmanocept diag 0.5mci. Status: Active. Effective Jan 1, 2016. Source: CMS HCPCS Level II.

A9520

Active

Tc99 tilmanocept diag 0.5mci

Technetium tc-99m tilmanocept, diagnostic, up to 0.5 millicuries

Category: Transportation & Supplies
Section: A-codes: Transportation, Medical & Surgical Supplies
Effective: Jan 1, 2016
Code type: alphanumeric
OPPS Status: N — Items / services packaged into APC rates

MUE — Medically Unlikely Edits

Maximum units of A9520 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 1
Practitioner Services 1

Source: CMS Medicare NCCI Medically Unlikely Edits