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A9547 In111 oxyquinoline

What A9547 is

Indium in-111 oxyquinoline, diagnostic, per 0.5 millicurie

HCPCS Level II long description, CMS October 2026 file. See the A codes page for the full section.

Medicare payment for A9547 (CY2026)

This code has no Physician Fee Schedule rate: Carrier-priced - the Medicare contractor sets the price. It may be paid under a different fee schedule (clinical laboratory, DMEPOS, anesthesia) or not paid at all - check the relevant CMS schedule.

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Medically Unlikely Edit (MUE)

Medicare caps A9547 at 2 units per date of service for practitioner claims (MAI 3 - date of service edit (clinical): units above the MUE may pay with documentation on appeal), rationale: Prescribing Information. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.

A9547 is bundled into these codes

A9547 appears as a Column 2 code in 26 active edits. Reported with one of these Column 1 codes on the same date of service, A9547 is the code that denies.

Column 1 codeShort descriptionModifier indicator
0868THi-res gastric ep mapping0Check pair
38792Ra tracer id of sentinl node0Check pair
78018Thyroid met imaging body0Check pair
78102Bone marrow imaging ltd0Check pair
78103Bone marrow imaging mult0Check pair
78104Bone marrow imaging body0Check pair
78215Lvr&spleen img static only0Check pair
78226Hepatobiliary system imaging0Check pair
78227Hepatobil syst image w/drug0Check pair
78264Gastric emptying img study0Check pair
78265Gstr emptg img sm bwl trnst0Check pair
78266Gstr empt img sm bwl&colon0Check pair
78300Bone imaging limited area0Check pair
78305Bone imaging multiple areas0Check pair
78306Bone imaging whole body1Check pair

Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.