HCPCS code A9558 — Xe133 xenon 10mci. Status: Active. Effective Jan 1, 2006. Source: CMS HCPCS Level II.

A9558

Active

Xe133 xenon 10mci

Xenon xe-133 gas, diagnostic, per 10 millicuries

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 A9558 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 7
Practitioner Services 7

Source: CMS Medicare NCCI Medically Unlikely Edits