Question 1

What is HCPCS code A9548?

Accepted Answer

HCPCS code A9548 is "In111 pentetate". Indium in-111 pentetate, diagnostic, per 0.5 millicurie

Question 2

What category is A9548 in?

Accepted Answer

A9548 belongs to HCPCS Category A (Transportation, Medical/Surgical Supplies, Miscellaneous).

Question 3

When should I use HCPCS code A9548?

Accepted Answer

Use A9548 when billing for in111 pentetate. 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

Is A9548 covered by Medicare?

Accepted Answer

Coverage for A9548 (In111 pentetate) 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 5

What documentation is required for A9548?

Accepted Answer

Documentation for A9548 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).