A9150 Misc/exper non-prescript dru
Also known as: miscellaneous drug, experimental agent, unclassified medication
Miscellaneous or experimental non-prescription drugs not otherwise classified.
In Plain Language
other medicine; special drug; non-standard medication
Clinical Context
Used for non-prescription drugs and experimental agents that do not fit into standard coding categories. Requires specific documentation.
RVU Information
CPT A9150 does not have a physician work RVU assigned by CMS. This is typical for supply, drug, and equipment codes — reimbursement is based on Average Sales Price (ASP), fee schedules, or payer contracts rather than the RVU system.
Billing & Documentation
HCPCS A-codes cover medical supplies, equipment, and transport services. Documentation must establish medical necessity and include a physician order. For durable medical equipment (DME), a Certificate of Medical Necessity (CMN) or detailed written order may be required.
Specialties
Frequently Asked Questions
What is CPT code A9150?
CPT A9150 (Misc/exper non-prescript dru) is a A Codes code. Miscellaneous or experimental non-prescription drugs not otherwise classified.
Does Medicare cover A9150?
Medicare coverage for A9150 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Used for non-prescription drugs and experimental agents that do not fit into standard coding categories. Requires specific documentation. A physician order is typically required.
When is CPT A9150 used?
Used for non-prescription drugs and experimental agents that do not fit into standard coding categories. Requires specific documentation.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.