How To Use HCPCS Code A9698

HCPCS code A9698 describes a non-radioactive contrast imaging material that is not otherwise classified, per study. This code is used to identify and bill for the use of non-radioactive contrast material during diagnostic radiology procedures. In this article, we will explore the details of HCPCS code A9698, 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 A9698?

HCPCS code A9698 is a specific code used in medical coding to identify and bill for the use of non-radioactive contrast imaging material during diagnostic radiology procedures. This code is specifically used when the contrast material used is not otherwise classified and is administered per study.

2. Official Description

The official description of HCPCS code A9698 is “Non-radioactive contrast imaging material, not otherwise classified, per study.” The short description for this code is “Non-rad contrast materialnoc.”

3. Procedure

1. The provider prepares the non-radioactive contrast imaging material according to the manufacturer’s instructions.
2. The provider administers the contrast material to the patient as part of a diagnostic radiology study.
3. The provider ensures the safe and proper use of the contrast material during the study.
4. The provider documents the administration of the contrast material in the patient’s medical record.

4. When to use HCPCS code A9698

HCPCS code A9698 should be used when a non-radioactive contrast imaging material is administered during a diagnostic radiology study. This code is specifically used when the contrast material used is not otherwise classified, meaning it does not have a specific HCPCS code assigned to it. It is important to review the specific guidelines and requirements of the payer to determine if this code is appropriate for the specific procedure and circumstances.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code A9698, healthcare providers should ensure that the following documentation requirements are met:

• Documentation of the non-radioactive contrast imaging material used, including the brand, dosage, and administration details.
• Documentation of the diagnostic radiology study for which the contrast material was administered.
• Supporting documentation, such as medical necessity, for the use of the contrast material.

6. Historical Information and Code Maintenance

HCPCS code A9698 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. This code remains active and available for use in medical coding and billing.

7. Medicare and Insurance Coverage

HCPCS code A9698 is eligible for coverage by Medicare and other insurance providers. The pricing indicator code for this code is 51, which indicates that it is classified as a drug. The multiple pricing indicator code is A, which means it is not applicable as HCPCS priced under one methodology. Providers should review the specific coverage policies and guidelines of the payer to determine the reimbursement rates and requirements for this code.

8. Examples

Here are five examples of when HCPCS code A9698 should be billed:

1. A patient undergoes a CT scan with the administration of a non-radioactive contrast material not otherwise classified.
2. A patient undergoes an MRI with the administration of a non-radioactive contrast material not otherwise classified.
3. A patient undergoes an ultrasound with the administration of a non-radioactive contrast material not otherwise classified.
4. A patient undergoes a fluoroscopy procedure with the administration of a non-radioactive contrast material not otherwise classified.
5. A patient undergoes a nuclear medicine study with the administration of a non-radioactive contrast material not otherwise classified.