Table of content for "Xe133 xenon 10mci" (HCPCS A9558)
General information on the “A9558” code
HCPCS Code: A9558
Long Description: Xenon xe-133 gas, diagnostic, per 10 millicuries
Short Description: Xe133 xenon 10mci
Original information is taken from A9558 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: 20060101
Code Effective Date: 20060101
Action Code: N – No maintenance for this code