HCPCS code A9551 — Tc99m succimer.
Status: Active.
Effective Jan 1, 2006.
Source: CMS HCPCS Level II.
A9551
ActiveTc99m succimer
Technetium tc-99m succimer, diagnostic, per study dose, up to 10 millicuries
Category:
Transportation & Supplies
Section:
A-codes: Transportation, Medical & Surgical Supplies
Effective:
Jan 1, 2006
Code type:
alphanumeric
OPPS Status:
K
— Non-pass-through drugs and biologicals
OPPS APC:
0920
MUE — Medically Unlikely Edits
Maximum units of A9551 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
NCCI Edits
The following codes cannot be billed together with A9551 without appropriate documentation.
| Column 2 Code | Modifier |
|---|---|
| A9512 | Modifier cannot bypass edit |
Source: CMS National Correct Coding Initiative (NCCI)