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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.

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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 codeShort descriptionModifier indicator
A9512Tc99m pertechnetate0 - no modifier bypassCheck 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 codeShort descriptionModifier indicator
78018Thyroid met imaging body0Check pair
78290Intestine imaging0Check pair
78306Bone imaging whole body0Check pair
78452Ht muscle image spect mult0Check pair
78472Gated heart planar single0Check pair
78579Lung ventilation imaging0Check pair
78580Lung perfusion imaging0Check pair
78582Lung ventilat&perfus imaging0Check 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.