A9699 Radiopharm prescription agent noc
Also known as: radiopharm agent NOC
Radiopharmaceutical therapeutic or diagnostic agent, not otherwise classified, providing coverage for new or unlisted radioactive agents used in nuclear medicine.
In Plain Language
radioactive medicine not listed elsewhere
Clinical Context
Used as a catch-all code for emerging radiopharmaceuticals and experimental nuclear medicine agents not specifically listed in the CPT/HCPCS coding system.
RVU Information
CPT A9699 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 A9699?
CPT A9699 (Radiopharm prescription agent noc) is a A Codes code. Radiopharmaceutical therapeutic or diagnostic agent, not otherwise classified, providing coverage for new or unlisted radioactive agents used in nuclear medicine.
Does Medicare cover A9699?
Medicare coverage for A9699 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Used as a catch-all code for emerging radiopharmaceuticals and experimental nuclear medicine agents not specifically listed in the CPT/HCPCS coding system. A physician order is typically required.
When is CPT A9699 used?
Used as a catch-all code for emerging radiopharmaceuticals and experimental nuclear medicine agents not specifically listed in the CPT/HCPCS coding system.
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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.