2021/2022 HCPCS Code A9501

Technetium tc-99m teboroxime, diagnostic, per study dose
Short Description Technetium tc-99m teboroxime
HCPCS Coverage Code C = Carrier judgment
HCPCS Action Code N = No maintenance for this code
HCPCS Action Effective Date January 01, 2008
HCPCS Code Added Date January 01, 2008
HCPCS Pricing Indicator Code 57 = Other carrier priced
HCPCS Multiple Pricing Indicator Code A = Not applicable as HCPCS priced under one methodology
HCPCS Type Of Service Code 4 = Diagnostic radiology
HCPCS Anesthesia Base Unit Quantity 0