Question 1

What is HCPCS code A9555?

Accepted Answer

HCPCS code A9555 is "Rb82 rubidium". Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries

Question 2

What category is A9555 in?

Accepted Answer

A9555 belongs to HCPCS Category A (Transportation, Medical/Surgical Supplies, Miscellaneous).

Question 3

When should I use HCPCS code A9555?

Accepted Answer

Use A9555 when billing for rb82 rubidium. 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 A9555?

Accepted Answer

Common ICD-10 diagnosis codes used with A9555 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 A9555 covered by Medicare?

Accepted Answer

Coverage for A9555 (Rb82 rubidium) 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 A9555?

Accepted Answer

Documentation for A9555 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).