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A9526

A9526Nitrogen n-13 ammonia, diagnostic, per study dose, up to 40 millicuries

HCPCSActiveBETOS I1E

A9526 is a HCPCS Level II code for nitrogen n-13 ammonia, diagnostic, per study dose, up to 40 millicuries. It belongs to the Transportation, Medical & Surgical Supplies, Administrative section. Whether Medicare pays it depends on the coverage rule below.

Medicare coverage: Carrier judgment

Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.

From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.

Physician fee schedule statusC

Contractor-priced. Your MAC establishes the RVUs and the payment amount case by case, usually after reviewing documentation. There is no national amount to compute.

Global period: XXX

Want the dollar amount for your locality? The fee calculator applies your GPCI and the current conversion factor.

Medically Unlikely Edits — units per day

The most units of A9526 Medicare will pay on one date of service. Bill more on a single line and it is denied. The limit is not the same in every setting, so the row that matters is the one matching the claim you are building.

practitioner
2 units
MAI 3 — Date of Service Edit: Clinical · Code Descriptor / CPT Instruction
outpatient
2 units
MAI 3 — Date of Service Edit: Clinical · Code Descriptor / CPT Instruction

The adjudication indicator decides whether exceeding the limit is worth appealing at all: MAI 1 is a line edit you can support with documentation, MAI 3 is a date-of-service edit that is also appealable, and MAI 2 is absolute — no documentation overrides it. CMS MUE 2026Q3.

The CMS record for A9526

Long descriptor
Nitrogen n-13 ammonia, diagnostic, per study dose, up to 40 millicuries

The official wording. This is what the code means.

Short descriptor
Nitrogen n-13 ammonia

CMS's 28-character form, which is what shows up on a remittance advice.

Added
January 1, 2004

When CMS introduced the code.

BETOS
I1E

Berenson-Eggers Type of Service — CMS's own analytic grouping.

Pricing indicator
53 — Other

Statute.

Codes adjacent to A9526

HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If A9526 is not quite right, the correct code is very often within a few positions of it.

  • A9512Technetium tc-99m pertechnetate, diagnostic, per millicurie
  • A9513Lutetium lu 177, dotatate, therapeutic, 1 millicurie
  • A9515Choline c-11, diagnostic, per study dose up to 20 millicuries
  • A9516Iodine i-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries
  • A9517Iodine i-131 sodium iodide capsule(s), therapeutic, per millicurie
  • A9520Technetium tc-99m tilmanocept, diagnostic, up to 0.5 millicuries
  • A9521Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries
  • A9524Iodine i-131 iodinated serum albumin, diagnostic, per 5 microcuries
  • A9527Iodine i-125, sodium iodide solution, therapeutic, per millicurie
  • A9528Iodine i-131 sodium iodide capsule(s), diagnostic, per millicurie
  • A9529Iodine i-131 sodium iodide solution, diagnostic, per millicurie
  • A9530Iodine i-131 sodium iodide solution, therapeutic, per millicurie
  • A9531Iodine i-131 sodium iodide, diagnostic, per microcurie (up to 100 microcuries)
  • A9532Iodine i-125 serum albumin, diagnostic, per 5 microcuries
  • A9536Technetium tc-99m depreotide, diagnostic, per study dose, up to 35 millicuries
  • A9537Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries

Questions about A9526

What is HCPCS code A9526?

A9526 is a HCPCS Level II code for nitrogen n-13 ammonia, diagnostic, per study dose, up to 40 millicuries. It sits in the Transportation, Medical & Surgical Supplies, Administrative section.

Does Medicare cover A9526?

The CMS HCPCS file marks A9526 as "Carrier judgment". Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.

How is A9526 paid under the physician fee schedule?

A9526 carries PFS status code C. Contractor-priced. Your MAC establishes the RVUs and the payment amount case by case, usually after reviewing documentation. There is no national amount to compute.

HCPCS Level II2026Q3-Jul· effective July 1, 2026