Home Drug Codes A Codes A9521 · Ceretec
Updated July 1st, 2026

Ceretec A Code: A9521

Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries

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Medicare Payment Limit ?
Not published
CMS publishes none for Q3 2026
APC Payment Limit ?
Not published
CMS publishes none for Q3 2026
ASP ?
No current ASP
Not available for Q3 2026
WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
2
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Drug & Product Overview

HCPCS Descriptor Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries
HCPCS Added Date January 1, 2003
Manufacturer GE Healthcare
Route of Administration Intravenous
Generic Status Single-Source; Branded
Dosage Form Injection, Powder, Lyophilized, For Solution | Kit

About Ceretec

Ceretec is a medication aligned to the HCPCS A Code: A9521 for billing, pricing, and reimbursement purposes in the United States. Classified under Imaging/Radiopharmaceutical, it is administered via the intravenous route and manufactured by GE Healthcare.

Manufacturers, reach out to us to add more information.

NDC Code Information

2 NDC packages are crosswalked to A9521. Package detail is available to logged-in subscribers.

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Ceretec Pricing & Reimbursement

A9521 Private Payer Reimbursement
$1,720.80 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

Ceretec CPT Administration Codes

The below list of CPT codes is intended for informational purposes only and may not be exhaustive. CPT® codes and descriptions are copyright American Medical Association (AMA). All rights reserved.

CPT Code Description
78607 Brain imaging, tomographic (SPECT); single study.
Not on the CMS JW / JZ list

CMS does not include Ceretec (A9521) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing A9521. Wastage billing guide →

Ceretec Medically Unlikely Edits (MUE)

The most billing units of A9521 Medicare will pay for one patient in one day, as published by CMS. 1 unit = up to 25 millicuries.

Practitioner Office & Hospital Outpatient
2 units / day
Same limit in both settings

MAI 3 · Date of Service Edit: Clinical. Per-day limit based on clinical expectations; excess units are denied but may be appealed with documentation of medical necessity. See all MUE limits →

Ceretec Clinical Information

Indications and drug classification.

Treated Diseases & Conditions

This list of indications is not exhaustive and may be subject to errors. The information on BuyandBill.com is intended for informational purposes only and should not be used for medical advice.

Leukocyte Labeled Scintigraphy for Intraabdominal Infection and Inflammatory Bowel Disease Cerebral Scintigraphy for Altered Regional Cerebral Perfusion in Stroke
Drug Class
Radioactive Diagnostic Agent [EPC]Radiopharmaceutical Activity [MoA]

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Frequently Asked Questions

Is there an available Ceretec billing and coding guide?
We have not yet identified a manufacturer source of Ceretec billing and coding information.
Are there any available Ceretec patient assistance programs?
Our team did not identify a source for Ceretec patient assistance information. Please reach out to our team if you feel that this is a mistake.
Where can I find Ceretec prescribing information?
Ceretec prescribing information can be found at the link below. Visit Here →
Where can I find Ceretec side effect information?
Our team has not yet identified a source of side effects information for Ceretec.
Does billing Ceretec require JZ/JW wastage modifiers?
This product is new and does not yet appear on the CMS list of HCPCS pertaining to single-dose containers.

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