Table of content for "Tc99m tetrofosmin" (HCPCS A9502)
General information on the “A9502” code
HCPCS Code: A9502
Long Description: Technetium tc-99m tetrofosmin, diagnostic, per study dose
Short Description: Tc99m tetrofosmin
Original information is taken from A9502 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: 19980101
Code Effective Date: 20090101
Action Code: N – No maintenance for this code