HCPCS Code Details - A9501

HCPCS Level II Code
Transportation Services Including Ambulance, Medical & Surgical Supplies
HCPCS Code A9501
Description

Long description:
Technetium tc-99m teboroxime, diagnostic, per study dose

Short description:
Technetium tc-99m teboroxime

HCPCS Modifier1
HCPCS Pricing indicator 57 - Other carrier priced
Multiple pricing indicator A - Not applicable as HCPCS priced under one methodology
Coverage code C - Carrier judgment
BETOS2 code I1E - Standard imaging - nuclear medicine
HCPCS Action code N - No maintenance for this code
Type of service 4 - Diagnostic radiology
Effective date Effective Jan 01, 2008
Date added Added Jan 01, 2008
HCPCS Coding Procedures

HCPCS Modifiers

In HCPCS Level II, modifiers are composed of two alpha or alphanumeric characters.

Example: E0260-NU - Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress
NU” identifies the hospital bed as new equipment

See also

  • HCPCS A9500 · Technetium tc-99m sestamibi, diagnostic, per study dose

  • HCPCS A9502 · Technetium tc-99m tetrofosmin, diagnostic, per study dose


1 Two-digit numeric codes are Level I code modifiers copyrighted© by the American Medical Association's Current Procedural Terminology (CPT).

2 BETOS stands for “Berenson-Eggers Type Of Service”