Question 1

What is HCPCS code A9569?

Accepted Answer

HCPCS code A9569 is "Technetium tc-99m auto wbc". Technetium tc-99m exametazime labeled autologous white blood cells, diagnostic, per study dose

Question 2

What category is A9569 in?

Accepted Answer

A9569 belongs to HCPCS Category A (Transportation, Medical/Surgical Supplies, Miscellaneous).

Question 3

When should I use HCPCS code A9569?

Accepted Answer

Use A9569 when billing for technetium tc-99m auto wbc. 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 A9569 covered by Medicare?

Accepted Answer

Coverage for A9569 (Technetium tc-99m auto wbc) 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 A9569?

Accepted Answer

Documentation for A9569 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).