Code: Q9969

Description:
Description: Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
Non-heu Tc-99m Add-on/dose
TC-99M NON-HEU FULL COST REC ADD-ON PER STDY DOS
HC NON-HEU TC-99M ADD-ON/DOSE
Non+AC0-heu tc+AC0-99m add+AC0-on/dose
Related codes:
Code: Q9960
HOCM 200-249 IC 1ML
Code: Q9961
HOCM 250-299 IC 50ML
Code: Q9962
HOCM 300-349 IC 50ML
Code: Q9963
GASTROGRAFN PO 367 120ML
Code: Q9964
HOCM 400 OR MORE IC 1ML
Code: Q9965
LOCM 100-199 IC 1ML
Code: Q9966
LOCM 200-299 IC 50ML
Code: Q9967
LOCM 300-399 IC 50ML
Code: Q9968
METHYL BLUE 100 MG INJ
State Average # Hospitals In Database
Maine (ME) $1 1
Kentucky (KY) $10 1
Indiana (IN) $10 14
New York (NY) $11 3
Hawaii (HI) $12 2
North Dakota (ND) $18 4
Tennessee (TN) $22 4
Wisconsin (WI) $22 1
Washington (WA) $22 1
Pennsylvania (PA) $25 3
California (CA) $34 14
Michigan (MI) $36 22
Florida (FL) $37 4
Idaho (ID) $50 3
Texas (TX) $270 2
Kansas (KS) $4,072 2

ChargemasterDB by Joseph Paul Cohen
A database of US hospital prices based on data made available by the Centers for Medicare & Medicaid Services (CMS), HHS price transparancy rule 45 CFR ยง180.