Question 1

What is HCPCS code A9505?

Accepted Answer

HCPCS code A9505 is "Tl201 thallium". Thallium tl-201 thallous chloride, diagnostic, per millicurie

Question 2

What category is A9505 in?

Accepted Answer

A9505 belongs to HCPCS Category A (Transportation, Medical/Surgical Supplies, Miscellaneous).

Question 3

When should I use HCPCS code A9505?

Accepted Answer

Use A9505 when billing for tl201 thallium. HCPCS Level II codes like this are used for items and services not covered by CPT codes, including medical supplies, equipment, drugs administered in clinical settings, and certain healthcare services.

Question 4

What ICD-10 codes are commonly used with A9505?

Accepted Answer

Common ICD-10 diagnosis codes used with A9505 include: A18.84 (Tuberculosis of heart), C58 (Malignant neoplasm of placenta), C81.10 (Nodular sclerosis Hodgkin lymphoma, unspecified site), C81.11 (Nodular sclerosis Hodgkin lymphoma, lymph nodes of head, face, and neck). Always ensure proper medical documentation supports the medical necessity for the HCPCS code being billed.

Question 5

Is A9505 covered by Medicare?

Accepted Answer

Coverage for A9505 (Tl201 thallium) depends on medical necessity and specific Medicare guidelines. Check the applicable Local Coverage Determination (LCD) or National Coverage Determination (NCD) for detailed coverage criteria. Private insurers may have different coverage policies.

Question 6

What documentation is required for A9505?

Accepted Answer

Documentation for A9505 should include: the medical necessity for the item or service, supporting diagnosis codes (ICD-10), prescription or order from the treating physician, and proof that the item meets quality standards. Some items may require additional documentation like a Certificate of Medical Necessity (CMN).