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
Indiana
Hospital Address Code Price Last Updated
Scott Memorial Health 1451 N. Gardner P.o. Box 430, Scottsburg Q9969 $9 [source] 3 years ago
Iu Health West Hospital 1111 N Ronald Reagan Pkwy, Avon Q9969 $10 [source] 3 years ago
Iu Health University Hospital 550 N University Blvd, Indianapolis Q9969 $10 [source] 3 years ago
Iu Health Neuroscience Center 362 W 15Th St, Indianapolis Q9969 $10 [source] 3 years ago
Iu Health Bloomington Hospital 601 W 2Nd St, Bloomington Q9969 $10 [source] 3 years ago
Iu Health Ball Memorial Hospital 2401 W University Ave, Muncie Q9969 $10 [source] 3 years ago
Iu Health Arnett Hospital 5165 Mccarty Ln, Lafayette Q9969 $10 [source] 3 years ago
Iu Health Saxony Hospital 13000 E 136Th St, Q9969 $10 [source] 3 years ago
Iu Health North Hospital 11700 N Meridian St, Carmel Q9969 $10 [source] 3 years ago
Iu Health Methodist Hospital 1701 N Senate Blvd, Indianapolis Q9969 $10 [source] 3 years ago
Iu Health Morgan 2209 John R Wooden Dr, Martinsville Q9969 $10 [source] 3 years ago
Iu Health Bedford Hospital 2900 W 16Th St, Bedford Q9969 $10 [source] 3 years ago
Iu Health White Memorial Hospital 720 S 6Th St, Monticello Q9969 $11 [source] 3 years ago
Iu Health Tipton Hospital 1000 S Main St, Tipton Q9969 $11 [source] 3 years ago

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.