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A9589 Insti hexaminolevulinate hcl

A Codes

Also known as: Cysview, hexaminolevulinate

Hexaminolevulinate hydrochloride instillation used as a photodynamic diagnostic agent for bladder cancer visualization.

In Plain Language

bladder cancer detection fluid; fluorescence imaging agent

Clinical Context

Used in urology for fluorescence-guided visualization and detection of bladder cancer during cystoscopy.

RVU Information

CPT A9589 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

UrologyOncologyGeneral Surgery

Frequently Asked Questions

What is CPT code A9589?

CPT A9589 (Insti hexaminolevulinate hcl) is a A Codes code. Hexaminolevulinate hydrochloride instillation used as a photodynamic diagnostic agent for bladder cancer visualization.

Does Medicare cover A9589?

Medicare coverage for A9589 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Used in urology for fluorescence-guided visualization and detection of bladder cancer during cystoscopy. A physician order is typically required.

When is CPT A9589 used?

Used in urology for fluorescence-guided visualization and detection of bladder cancer during cystoscopy.

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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.