C9176 : HCPCS Code (2026) : JSON

C9176 : Tc-99m from domestically produced non-heu mo-99, [minimum 50 percent], full cost recovery add-on, per study dose ( Dom nonheu tc99m add-on/dose )

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HCPCS Code : C9176 – JSON Data Format

                    
{
  "HCPCS": {
    "HCPC": "C9176",
    "LongDescription": "Tc-99m from domestically produced non-heu mo-99, [minimum 50 percent], full cost recovery add-on, per study dose",
    "ShortDescription": "Dom nonheu tc99m add-on/dose",
    "PricingIndicators": {
      "PricingIndicator": {
        "PricingIndicatorName": "53",
        "PricingIndicatorCode": "Statute"
      }
    },
    "MPI": "A",
    "MultiplePricingIndicatorCode": "Not applicable as HCPCS priced under one methodology",
    "CIMs": null,
    "MCMs": "",
    "Statute": "1833(t)",
    "LabCertifications": null,
    "XReferences": null,
    "Coverage": "D",
    "CoverageDescription": "Special coverage instructions apply",
    "ASCPayGrp": "YY",
    "ASCPayGrpEffDate": "20260101",
    "MOGPayGrp": null,
    "MOGPaymentGroupCode": null,
    "MOGPayInd": null,
    "MOGPaymentPolicyIndicator": null,
    "MOGEffDate": null,
    "ProcNote": null,
    "BETOS": "Y1",
    "BETOSDescription": "Other - Medicare fee schedule",
    "TypeOfServices": {
      "TypeOfService": {
        "TOS": "9",
        "TypeOfServiceCode": "Other medical items or services"
      }
    },
    "AnestBaseUnits": "0",
    "CodeAddDate": "20260101",
    "ActionEffDate": "20260101",
    "TermDate": null,
    "ActionCode": "N",
    "ActionCodeDescription": "No maintenance for this code"
  }
}