How To Use HCPCS Code A9539

HCPCS code A9539 describes the use of Technetium tc-99m pentetate for diagnostic purposes. This code is used to identify the administration of a study dose of up to 25 millicuries of Technetium tc-99m pentetate. In this article, we will explore the official description of HCPCS code A9539, the procedure involved, when to use this code, billing guidelines and documentation requirements, historical information and code maintenance, Medicare and insurance coverage, as well as provide examples of when this code should be billed.

1. What is HCPCS A9539?

HCPCS code A9539 is used to identify the administration of Technetium tc-99m pentetate for diagnostic purposes. This code specifically refers to the use of a study dose of up to 25 millicuries of Technetium tc-99m pentetate.

2. Official Description

The official description of HCPCS code A9539 is “Technetium tc-99m pentetate, diagnostic, per study dose, up to 25 millicuries.” The short description for this code is “Tc99m pentetate.”

3. Procedure

1. The procedure for HCPCS code A9539 involves the administration of Technetium tc-99m pentetate to the patient.
2. The healthcare provider prepares the Technetium tc-99m pentetate solution according to the manufacturer’s instructions.
3. The prepared solution is then injected into the patient’s bloodstream.
4. After the injection, the patient may be required to wait for a certain period of time to allow the Technetium tc-99m pentetate to distribute throughout the body.
5. Once the distribution is complete, the patient undergoes imaging or scanning procedures to visualize the distribution of the Technetium tc-99m pentetate in the body.
6. The results of the imaging or scanning procedures are used for diagnostic purposes.

4. When to use HCPCS code A9539

HCPCS code A9539 should be used when a healthcare provider administers a study dose of up to 25 millicuries of Technetium tc-99m pentetate for diagnostic purposes. This code is typically used in radiology departments or imaging centers where diagnostic imaging procedures are performed.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code A9539, healthcare providers need to document the administration of Technetium tc-99m pentetate, including the dosage administered and the specific diagnostic procedure performed. It is important to include the date of service, the patient’s medical record number, and any relevant supporting documentation.

6. Historical Information and Code Maintenance

HCPCS code A9539 was added to the Healthcare Common Procedure Coding System on January 01, 2006. Since its addition, there have been no maintenance actions taken for this code, as indicated by the action code N, which means no maintenance for this code.

7. Medicare and Insurance Coverage

The coverage of HCPCS code A9539 may vary depending on the carrier’s judgment. It is important to check with Medicare or other insurance providers to determine their specific coverage policies for Technetium tc-99m pentetate diagnostic procedures.

8. Examples

Here are five examples of when HCPCS code A9539 should be billed:

1. A patient undergoes a Technetium tc-99m pentetate scan to evaluate kidney function.
2. A patient undergoes a Technetium tc-99m pentetate scan to assess the presence of brain lesions.
3. A patient undergoes a Technetium tc-99m pentetate scan to evaluate lung perfusion.
4. A patient undergoes a Technetium tc-99m pentetate scan to assess the presence of bone metastases.
5. A patient undergoes a Technetium tc-99m pentetate scan to evaluate the patency of the tear ducts.