HCPCS A9501 Code. Technetium tc-99m teboroxime


Table of content for "Technetium tc-99m teboroxime" (HCPCS A9501)

General information on the “A9501” code

HCPCS Code: A9501
Long Description: Technetium tc-99m teboroxime, diagnostic, per study dose
Short Description: Technetium tc-99m teboroxime

Original information is taken from A9501 page

Pricing indicators

Pricing Indicator Code 1: 57 – Other carrier priced
Multiple Pricing Indicator Code A : Not applicable as HCPCS priced under one methodology

Certification and additional reference information

Coverage

Coverage: C – Carrier judgment

Type of service


Berenson-Eggers Type of Service (BETOS): I1E – Standard imaging - nuclear medicine
Type Of Service 1: 4 – Diagnostic radiology

Misc information

Anesthesia Base Unit Quantity: 0
Code Added Date: 20080101
Code Effective Date: 20080101
Action Code: N – No maintenance for this code