HCPCS code A9569 — Technetium tc-99m auto wbc.
Status: Active.
Effective Jan 1, 2025.
Source: CMS HCPCS Level II.
A9569
ActiveTechnetium tc-99m auto wbc
Technetium tc-99m exametazime labeled autologous white blood cells, diagnostic, per study dose
Category:
Transportation & Supplies
Section:
A-codes: Transportation, Medical & Surgical Supplies
Effective:
Jan 1, 2025
Code type:
alphanumeric
OPPS Status:
K
— Non-pass-through drugs and biologicals
OPPS APC:
0776
MUE — Medically Unlikely Edits
Maximum units of A9569 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 A9569 without appropriate documentation.
| Column 2 Code | Modifier |
|---|---|
| A9512 | Modifier cannot bypass edit |
Source: CMS National Correct Coding Initiative (NCCI)
Change History
Quarterly changes published by CMS. Revisions may affect the code description, coverage, or rate — review each quarter's changes before submitting claims.
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New Code 2025-Q1Technetium tc-99m auto wbc