A9597 Pet, diagnosis, for tumor id, noc
Also known as: PET tracer NOS, PET diagnostic agent
Positron emission tomography diagnostic agent used for tumor identification not otherwise specified.
In Plain Language
PET scan tracer; cancer imaging dye
Clinical Context
Catch-all code for PET diagnostic agents used in tumor detection and localization not specifically listed elsewhere.
RVU Information
CPT A9597 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 A9597?
CPT A9597 (Pet, diagnosis, for tumor id, noc) is a A Codes code. Positron emission tomography diagnostic agent used for tumor identification not otherwise specified.
Does Medicare cover A9597?
Medicare coverage for A9597 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Catch-all code for PET diagnostic agents used in tumor detection and localization not specifically listed elsewhere. A physician order is typically required.
When is CPT A9597 used?
Catch-all code for PET diagnostic agents used in tumor detection and localization not specifically listed elsewhere.
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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.