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A9570 Indium in-111 auto wbc

What A9570 is

Indium in-111 labeled autologous white blood cells, diagnostic, per study dose

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

Medicare payment for A9570 (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 A9570 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.

A9570 is bundled into these codes

A9570 appears as a Column 2 code in 22 active edits. Reported with one of these Column 1 codes on the same date of service, A9570 is the code that denies.

Column 1 codeShort descriptionModifier indicator
0868THi-res gastric ep mapping0Check pair
38792Ra tracer id of sentinl node0Check pair
78102Bone marrow imaging ltd1Check pair
78103Bone marrow imaging mult0Check pair
78104Bone marrow imaging body0Check pair
78122Whl bld volume determination0Check pair
78226Hepatobiliary system imaging0Check pair
78264Gastric emptying img study0Check pair
78265Gstr emptg img sm bwl trnst0Check pair
78266Gstr empt img sm bwl&colon0Check pair
78278Acute gi blood loss imaging0Check pair
78300Bone imaging limited area1Check pair
78305Bone imaging multiple areas1Check pair
78306Bone imaging whole body1Check pair
78315Bone imaging 3 phase1Check 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.