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See a sample rate comparisonHCPCS A9526 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Nitrogen N-13 ammonia, diagnostic, per study dose, up to 40 millicuries
| Key Fact | Detail |
|---|---|
| Service Type | Administrative, Miscellaneous and Investigational Diagnostic and Therapeutic Radiopharmaceuticals |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for A9526 |
National average reimbursement for HCPCS A9526 by major payers:
$503.71
$85.80
$656.36
$672.18
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HCPCS A9526
5 of 25 sample ratesHigher to lower in this preview
Piedmont Newton Hospital, Inc., Newton Medical Center
Piedmont Newton Hospital Inc
$1,316.61Published rateMarissa Liveris
Allergy & Asthma Of Dupage, S.C.
$167.66Published rateRedmond Park Hospital LLC, Redmond Hospital Based Services LLC
Redmond Park Hospital LLC
$92.94Published rateApril Leuzinger
Aztec Urgent Care LLC
$85.80Published rateTanner Medical Center, Inc, Tanner Health System
Tanner Medical Center Inc
$85.80Published rate
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See a sample payer proposalHCPCS A9526 vs. Other Diagnostic and Therapeutic Radiopharmaceuticals Codes
The HCPCS A9526 code is part of the Administrative, Miscellaneous and Investigational services used for Diagnostic and Therapeutic Radiopharmaceuticals. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS A9526 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| A9524-HCPCS | Low | Iodine I-131 iodinated serum albumin, diagnostic, per 5 microcuries |
| A9526-HCPCS | Moderate | Nitrogen N-13 ammonia, diagnostic, per study dose, up to 40 millicuries |
| A9527-HCPCS | Low | Iodine I-125, sodium iodide solution, therapeutic, per millicurie |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A9526. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A9526 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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