Table of content for "Dom nonheu tc99m add-on/dose" (HCPCS C9176)
General information on the “C9176” code
HCPCS Code: C9176
Long Description: Tc-99m from domestically produced non-heu mo-99, [minimum 50 percent], full cost recovery add-on, per study dose
Short Description: Dom nonheu tc99m add-on/dose
Original information is taken from C9176 page
Pricing indicators
Pricing Indicator Code 1: 53 – Statute
Multiple Pricing Indicator Code A : Not applicable as HCPCS priced under one methodology
Certification and additional reference information
Coverage
Coverage: D – Special coverage instructions apply
ASC Payment Group: YY
ASC Payment Group Effective Date: 20260101
Type of service
Berenson-Eggers Type of Service (BETOS): Y1 – Other - Medicare fee schedule
Type Of Service 1: 9 – Other medical items or services
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 20260101
Code Effective Date: 20260101
Action Code: N – No maintenance for this code