A9562 HCPCS code: Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries
A9562 is the HCPCS Level II code for technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries. In 2024 Medicare paid an average of $489.20 per service for A9562 across 2,878 services. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. The NCCI unit limit is 2 per day on outpatient hospital claims. Medicare volume fell 2% from 2022 to 2024 (2,947 to 2,878 services). In 2024, about 559 clinicians billed Medicare for A9562 for 2,682 beneficiaries; Florida, California, Arizona accounted for 43% of services.
Code details
| Field | Value |
|---|---|
| Section | A codes — Transportation, medical/surgical supplies and miscellaneous |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 57 |
| BETOS category | I1E |
| Added | 2006-01-01 |
| Last action effective | 2006-01-01 |
Who bills A9562 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 559 |
| Medicare beneficiaries | 2,682 |
| States with claims | 27 |
| Share of services in top 3 states (Florida, California, Arizona) | 43% |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for A9562, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 2,947 | 2,755 | $566.69 | $451.26 |
| 2023 | 2,761 | 2,587 | $548.78 | $436.68 |
| 2024 | 2,878 | 2,682 | $616.16 | $489.20 |
States with the most A9562 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Florida | 563 | $294.13 |
| California | 347 | $669.78 |
| Arizona | 306 | $676.26 |
| Maryland | 251 | $923.06 |
| Texas | 247 | $267.01 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 2 | Code Descriptor / CPT Instruction |
| practitioner claims | 2 | Code Descriptor / CPT Instruction |
What changed for A9562
- 2006-01-01: A9562 added to HCPCS Level II
- Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01
Frequently asked questions
What is HCPCS code A9562?
A9562 is the HCPCS Level II code for technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries. Short descriptor: "Tc99m mertiatide".
How much does Medicare pay for A9562?
In 2024, the average Medicare payment was $489.20 per service (average allowed $616.16).
Does Medicare cover A9562?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
How many units of A9562 can be billed per day?
2 on outpatient hospital claims; 2 on practitioner claims (NCCI medically unlikely edits).
Related A95 codes
- A9500 — Technetium tc-99m sestamibi, diagnostic, per study dose
- A9501 — Technetium tc-99m teboroxime, diagnostic, per study dose
- A9502 — Technetium tc-99m tetrofosmin, diagnostic, per study dose
- A9503 — Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries
- A9504 — Technetium tc-99m apcitide, diagnostic, per study dose, up to 20 millicuries
- A9505 — Thallium tl-201 thallous chloride, diagnostic, per millicurie
- A9506 — Graphite crucible for preparation of technetium tc 99m-labeled carbon aerosol, one crucible
- A9507 — Indium in-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuries
- A9508 — Iodine i-131 iobenguane sulfate, diagnostic, per 0.5 millicurie
- A9509 — Iodine i-123 sodium iodide, diagnostic, per millicurie
- A9510 — Technetium tc-99m disofenin, diagnostic, per study dose, up to 15 millicuries
- A9512 — Technetium tc-99m pertechnetate, diagnostic, per millicurie
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Next steps
- Run a reimbursement report for a device billed under A9562
- Watch A9562 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for A9562
Sources: CMS HCPCS Level II release October 2025; CMS DMEPOS fee schedule; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.