Table of content for "Technetium tc-99m auto wbc" (HCPCS A9569)
General information on the “A9569” code
HCPCS Code: A9569
Long Description: Technetium tc-99m exametazime labeled autologous white blood cells, diagnostic, per study dose
Short Description: Technetium tc-99m auto wbc
Original information is taken from A9569 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