Question 1

What is HCPCS code A9552?

Accepted Answer

HCPCS code A9552 is "F18 fdg". Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries

Question 2

What category is A9552 in?

Accepted Answer

A9552 belongs to HCPCS Category A (Transportation, Medical/Surgical Supplies, Miscellaneous).

Question 3

When should I use HCPCS code A9552?

Accepted Answer

Use A9552 when billing for f18 fdg. 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 A9552?

Accepted Answer

Common ICD-10 diagnosis codes used with A9552 include: D86.85 (Sarcoid myocarditis), F03.90 (Unspecified dementia, unspecified severity, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety), F03.911 (Unspecified dementia, unspecified severity, with agitation), F03.918 (Unspecified dementia, unspecified severity, with other behavioral disturbance). Always ensure proper medical documentation supports the medical necessity for the HCPCS code being billed.

Question 5

Is A9552 covered by Medicare?

Accepted Answer

Coverage for A9552 (F18 fdg) 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 A9552?

Accepted Answer

Documentation for A9552 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).