TECHNETIUM TC 99M SESTAMIBI A Code: A9500

Drug & Product Overview

HCPCS Descriptor Technetium tc-99m sestamibi, diagnostic, per study dose

HCPCS Added Date January 1, 1996

Manufacturer Lantheus Medical Imaging

Route of Administration Intravenous

Generic Status Single-Source; Branded

Dosage Form Injection | Injection, Powder, Lyophilized, For Solution

About TECHNETIUM TC 99M SESTAMIBI

Technetium TC 99M Sestamibi is a medication aligned to the HCPCS A Code: A9500 for billing, pricing, and reimbursement purposes in the United States. Classified under Imaging/Radiopharmaceutical, it is administered via the intravenous route and manufactured by Lantheus Medical Imaging.

Manufacturers, reach out to us to add more information.

NDC Code Information

5 NDC packages are crosswalked to A9500. Package detail is available to logged-in subscribers.

NDC Code	Drug	Manufacturer	Billing Units / Pkg	Package Size
•••••-••••-•• Log in to view	TECHNETIUM TC 99M SESTAMIBI
	TECHNETIUM TC 99M SESTAMIBI
	TECHNETIUM TC 99M SESTAMIBI
	TECHNETIUM TC 99M SESTAMIBI

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TECHNETIUM TC 99M SESTAMIBI Pricing & Reimbursement

A9500 Private Payer Reimbursement

$194.84 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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TECHNETIUM TC 99M SESTAMIBI CPT Administration Codes

CPT Code	Description
78451	Myocardial perfusion imaging, tomographic (SPECT); single study
78452	Myocardial perfusion imaging, tomographic (SPECT); multiple studies

Not on the CMS JW / JZ list

CMS does not include Technetium TC 99M Sestamibi (A9500) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing A9500. Wastage billing guide →

TECHNETIUM TC 99M SESTAMIBI Medically Unlikely Edits (MUE)

The most billing units of A9500 Medicare will pay for one patient in one day, as published by CMS. 1 unit = per study dose.

Practitioner Office & Hospital Outpatient

3 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 →

TECHNETIUM TC 99M SESTAMIBI Clinical Information

Indications and drug classification.

Drug Class

Radioactive Diagnostic Agent [EPC]Radiopharmaceutical Activity [MoA]

Frequently Asked Questions

Is there a manufacturer-published billing and coding guide for Technetium Tc 99M Sestamibi?

Our team has not identified a manufacturer-published source of billing and coding information for Technetium Tc 99M Sestamibi.

Are there any available patient assistance programs for Technetium Tc 99M Sestamibi?

Our team has not identified a source of patient assistance information for Technetium Tc 99M Sestamibi.

Where can I find Technetium Tc 99M Sestamibi prescribing information?

Our team has not identified a source of prescribing information for this medication

Is there available side effect information for Technetium Tc 99M Sestamibi?

Our team has not identified a source of side effect information for Technetium Tc 99M Sestamibi.

Does billing TECHNETIUM TC 99M SESTAMIBI require JZ/JW wastage modifiers?

CMS does not include TECHNETIUM TC 99M SESTAMIBI (A9500) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing A9500. For more information, visit the link below.

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