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See a sample rate comparisonHCPCS A9699 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Radiopharmaceutical, therapeutic, not otherwise classified
| Key Fact | Detail |
|---|---|
| Service Type | Administrative, Miscellaneous and Investigational Diagnostic and Therapeutic Radiopharmaceuticals |
| Complexity Level | High |
National average reimbursement for HCPCS A9699 by major payers:
$259,193.04
$1,278.47
$35,239.98
$39,716.06
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HCPCS A9699
5 of 25 sample ratesHigher to lower in this preview
The Medical Center Inc, Piedmont Columbus Regional Midtown
The Medical Center Inc
$174,067.23Published rateNorthside Hospital, Inc., Northside Hospital Forsyth
Northside Hospital Inc
$125,886.89Published rateCartersville Medical Center LLC, Cartersville Medical Center
Cartersville Medical Center LLC
$89,265.25Published rateEastside Medical Center, LLC, Piedmont Eastside Medical Center
$89,265.25Published rateConcordia Parish Hospital Service District Number One, Trinity Medical
Riverland Medical Center
$39,556.10Published rate
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See a sample payer proposalHCPCS A9699 vs. Other Diagnostic and Therapeutic Radiopharmaceuticals Codes
The HCPCS A9699 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 A9699 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 |
|---|---|---|
| A9698-HCPCS | Moderate | Non-radioactive contrast imaging material, not otherwise classified, per study |
| A9699-HCPCS | High | Radiopharmaceutical, therapeutic, not otherwise classified |
| A9700-HCPCS | Low | Supply of injectable contrast material for use in echocardiography, per study |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A9699. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A9699 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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