Question 1

What is HCPCS code A9598?

Accepted Answer

HCPCS code A9598 is "Pet dx for non-tumor id, noc". Positron emission tomography radiopharmaceutical, diagnostic, for non-tumor identification, not otherwise classified

Question 2

What category is A9598 in?

Accepted Answer

A9598 belongs to HCPCS Category A (Transportation, Medical/Surgical Supplies, Miscellaneous).

Question 3

When should I use HCPCS code A9598?

Accepted Answer

Use A9598 when billing for pet dx for non-tumor id, noc. 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 A9598?

Accepted Answer

Common ICD-10 diagnosis codes used with A9598 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 A9598 covered by Medicare?

Accepted Answer

Coverage for A9598 (Pet dx for non-tumor id, noc) 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 A9598?

Accepted Answer

Documentation for A9598 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).