A9520 Tc99 tilmanocept diagnostic 0.5mci
Also known as: Lymphoseek, tilmanocept, Tc-99m tilmanocept
Technetium Tc-99m tilmanocept injection at 0.5 millicurie activity used as a radiotracer for lymphoid tissue imaging.
In Plain Language
lymph node imaging dye; lymphatic system tracer
Clinical Context
Used for sentinel lymph node mapping and detection in cancer patients to guide surgical staging and treatment decisions.
RVU Information
CPT A9520 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 A9520?
CPT A9520 (Tc99 tilmanocept diagnostic 0.5mci) is a A Codes code. Technetium Tc-99m tilmanocept injection at 0.5 millicurie activity used as a radiotracer for lymphoid tissue imaging.
Does Medicare cover A9520?
Medicare coverage for A9520 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Used for sentinel lymph node mapping and detection in cancer patients to guide surgical staging and treatment decisions. A physician order is typically required.
When is CPT A9520 used?
Used for sentinel lymph node mapping and detection in cancer patients to guide surgical staging and treatment decisions.
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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.