A9550 Tc99m gluceptate
What A9550 is
Technetium tc-99m sodium gluceptate, diagnostic, per study dose, up to 25 millicurie
HCPCS Level II long description, CMS October 2026 file. See the A codes page for the full section.
Medicare payment for A9550 (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.
Medically Unlikely Edit (MUE)
Medicare caps A9550 at 1 unit 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: Code Descriptor / CPT Instruction. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.
Billed with A9550? These codes are bundled into it
A9550 is a Column 1 code in 1 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.
| Column 2 code | Short description | Modifier indicator | |
|---|---|---|---|
A9512 | Tc99m pertechnetate | 0 - no modifier bypass | Check pair |
A9550 is bundled into these codes
A9550 appears as a Column 2 code in 8 active edits. Reported with one of these Column 1 codes on the same date of service, A9550 is the code that denies.
| Column 1 code | Short description | Modifier indicator | |
|---|---|---|---|
78018 | Thyroid met imaging body | 0 | Check pair |
78290 | Intestine imaging | 0 | Check pair |
78306 | Bone imaging whole body | 0 | Check pair |
78452 | Ht muscle image spect mult | 0 | Check pair |
78472 | Gated heart planar single | 0 | Check pair |
78579 | Lung ventilation imaging | 0 | Check pair |
78580 | Lung perfusion imaging | 0 | Check pair |
78582 | Lung ventilat&perfus imaging | 0 | Check 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.