A9500 – Technetium tc-99m sestamibi, diagnostic, per study dose

HCPCS Level II code · A codes: Transportation, Medical & Surgical Supplies, Miscellaneous & Experimental

Active code Carrier judgment

HCPCS codeA9500
Long description
Technetium tc-99m sestamibi, diagnostic, per study dose
Short description
Tc99m sestamibi
Pricing indicator
57 Other carrier priced
Medicare coverage
C Carrier judgment – coverage decided by the Medicare contractor
BETOS category
I1E Standard imaging - nuclear medicine
Added
January 1, 1996
Last change
January 1, 2010 – No change

Frequently asked questions

What is HCPCS code A9500?

A9500 is a HCPCS Level II code for technetium tc-99m sestamibi, diagnostic, per study dose.

Does Medicare cover A9500?

The HCPCS file lists coverage code C: Carrier judgment – coverage decided by the Medicare contractor. Coverage and payment also depend on local coverage determinations and the patient’s plan.

Nearby A codes

Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.