How To Use HCPCS Code A9584

HCPCS code A9584 describes the use of iodine 1-123 ioflupane for diagnostic purposes. This code is used to identify the administration of a study dose of up to 5 millicuries of iodine i-123 ioflupane. In this article, we will explore the details of HCPCS code A9584, including its official description, procedure, when to use it, billing guidelines, historical information, Medicare and insurance coverage, and provide examples of when this code should be billed.

1. What is HCPCS A9584?

HCPCS code A9584 is used to identify the administration of iodine 1-123 ioflupane for diagnostic purposes. It specifically refers to the per study dose of up to 5 millicuries. This code is used to report the use of this diagnostic radiology procedure.

2. Official Description

The official description of HCPCS code A9584 is “Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries.” The short description for this code is “Iodine i-123 ioflupane.”

3. Procedure

1. The procedure for HCPCS code A9584 involves the administration of iodine 1-123 ioflupane to the patient.
2. The provider prepares the necessary equipment and verifies the patient’s identity.
3. The provider administers the iodine 1-123 ioflupane to the patient according to the prescribed dosage.
4. After the administration, the provider may monitor the patient for any immediate adverse reactions.
5. The provider documents the procedure and any relevant findings in the patient’s medical record.

4. When to use HCPCS code A9584

HCPCS code A9584 should be used when iodine 1-123 ioflupane is administered for diagnostic purposes. This code is specifically used for the per study dose of up to 5 millicuries. It is important to ensure that the administration of iodine i-123 ioflupane meets the criteria for diagnostic radiology and is medically necessary for the patient’s condition.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code A9584, healthcare providers need to document the administration of iodine 1-123 ioflupane, including the dosage and any relevant details. They should also ensure that the procedure meets the necessary medical criteria for diagnostic radiology. Proper documentation is essential for accurate billing and reimbursement.

6. Historical Information and Code Maintenance

HCPCS code A9584 was added to the Healthcare Common Procedure Coding System on January 01, 2012. 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. This code has been in use since its addition without any significant changes or revisions.

7. Medicare and Insurance Coverage

Medicare and other insurance providers may cover the use of HCPCS code A9584. The pricing indicator code for this code is 57, which indicates that it is priced by other carriers. The multiple pricing indicator code is A, which means it is not applicable as HCPCS priced under one methodology. It is important to check with individual payers to determine their specific coverage policies and reimbursement rates for this code.

8. Examples

Here are five examples of when HCPCS code A9584 should be billed:

1. A patient undergoes a diagnostic imaging study using iodine 1-123 ioflupane to assess the function of the brain’s dopamine transporters.
2. A physician orders a diagnostic scan with iodine i-123 ioflupane to evaluate a patient with suspected Parkinson’s disease.
3. A radiologist administers iodine 1-123 ioflupane to a patient for a diagnostic study to assess the presence of abnormal dopamine transporter activity in the brain.
4. A neurologist prescribes a diagnostic imaging procedure using iodine i-123 ioflupane to aid in the diagnosis of a movement disorder.
5. A patient undergoes a diagnostic scan with iodine 1-123 ioflupane to evaluate the severity of a neurodegenerative condition.