A9555 HCPCS - RUBIDIUM RB-82, DIAGNOSTIC, PER STUDY DOSE, UP TO 60 MILLICURIES

Code Information

HCPCS Code: A9555
Sequence Number: 0010
Short Description: Rb82 rubidium
Long Description: Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries
Date Added: 1/1/2006
Action Code: N - No maintenance for this code
Action Effective Date: 1/1/2006
Classification: Transportation, Medical & Surgical Supplies, Miscellaneous & Experimental
Coding System: HCPCS

Pricing Indicator Code:
- 99 - Value not established
Multiple Pricing Indicator Code: 9 - Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99')
Coverage Issues Manual Reference Section Number:
N/A
Medicare Carriers Manual Reference Section Number:
N/A
Coverage Code: C - Carrier judgment

Field Name	Field Value
Healthcare Common Procedure Coding System Code	A9555
HCPCS Sequence Number	0010
HCPCS Record Identification Code	3 - First line of procedure record also contains detail information in positions 92-275
HCPCS Long Description	Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries
HCPCS Short Description	Rb82 rubidium
HCPCS Pricing Indicator Code 1	99 - Value not established
HCPCS Multiple Pricing Indicator Code	9 - Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99')
HCPCS Coverage Code	C - Carrier judgment
HCPCS Berenson-Eggers Type Of Service Code	I1E - Standard imaging - nuclear medicine
HCPCS Type Of Service Code 1	4 - Diagnostic radiology
HCPCS Anesthesia Base Unit Quantity	0
HCPCS Code Added Date	1/1/2006
HCPCS Action Effective Date	1/1/2006
HCPCS Action Code	N - No maintenance for this code