HCPCS code A9560 — Tc99m labeled rbc. Status: Active. Effective Jan 1, 2006. Source: CMS HCPCS Level II.

A9560

Active

Tc99m labeled rbc

Technetium tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 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 A9560 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 2
Practitioner Services 2

Source: CMS Medicare NCCI Medically Unlikely Edits

NCCI Edits

The following codes cannot be billed together with A9560 without appropriate documentation.

Column 2 Code Modifier
A9512 Modifier cannot bypass edit

Source: CMS National Correct Coding Initiative (NCCI)