A9516 Iodine i-123 sod iodide mic
Also known as: I-123 sodium iodide capsule, thyroid uptake tracer
Iodine I-123 sodium iodide oral capsule or solution used as a radiotracer for thyroid uptake and imaging studies.
In Plain Language
thyroid imaging capsule; thyroid function tracer
Clinical Context
Used for thyroid uptake measurements and imaging to assess thyroid function in suspected hyperthyroidism or thyroiditis.
RVU Information
CPT A9516 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 A9516?
CPT A9516 (Iodine i-123 sod iodide mic) is a A Codes code. Iodine I-123 sodium iodide oral capsule or solution used as a radiotracer for thyroid uptake and imaging studies.
Does Medicare cover A9516?
Medicare coverage for A9516 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Used for thyroid uptake measurements and imaging to assess thyroid function in suspected hyperthyroidism or thyroiditis. A physician order is typically required.
When is CPT A9516 used?
Used for thyroid uptake measurements and imaging to assess thyroid function in suspected hyperthyroidism or thyroiditis.
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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.