HCPCS code A9548: Indium-111 pentetate, per 0.5 mCi2026 Medicare rate & RVUs in Missouri

Indium-111 pentetate is a diagnostic radiopharmaceutical reported for nuclear medicine studies in units representing 0.5 millicurie of activity.

CMS RVU26DEffective Oct 1, 20263 payment localities28 Medicare services in 2024

CMS doesn’t publish an office rate for A9548 in Missouri.

—Office (non-facility)
—Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 9 sections
  1. Rate in Missouri
  2. What A9548 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What A9548 covers

Indium-111 pentetate is a diagnostic radiopharmaceutical used in radionuclide cisternography and other cerebrospinal fluid studies, including investigation of suspected CSF leakage or altered flow. Nuclear medicine professionals use it as an imaging agent, typically administered intrathecally for these studies. A9548 identifies the radiopharmaceutical rather than the imaging procedure; CPT 78630 identifies cisternography.

A9548 is a HCPCS Level II code with physician fee schedule status C: CMS publishes no national payment, and the Medicare Administrative Contractor sets payment for each claim. In the HCPCS pricing file, its pricing method is payment set by statute; coverage is left to the Medicare contractor’s judgment. Each unit represents 0.5 millicurie of indium In-111 pentetate, so 1.0 millicurie corresponds to 2 units.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where A9548 pays more and less in Missouri

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

A9548 office and facility rates by payment locality
Payment localityOfficeFacility
Metropolitan Kansas City, MOUnavailableUnavailable
Metropolitan St. Louis, MOUnavailableUnavailable
Rest of MissouriUnavailableUnavailable

How the A9548 rate is calculated

Each of A9548’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · A9548

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.00

0.00 RVUs× 1.000 GPCI

Practice expense0.00

0.00 RVUs× 1.000 GPCI

Malpractice0.00

0.00 RVUs× 1.000 GPCI

Adjusted RVUs

0.0000

Conversion factor

$33.4009

Medicare rate

$0.00

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for A9548

A9548 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

Place of service · A9548

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

POS 11 · non-facility rate · national

—

A9548 isn’t priced in this setting.

A9548 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • A9548

    Indium-111 pentetate, per 0.5 mCi0 wRVU

    Not priced

  • A9539

    Tc-99m pentetate, per study dose0 wRVU

    Not priced

  • A9547

    Indium-111 oxyquinoline, per 0.5 mCi0 wRVU

    Not priced

  • 78630

    CSF scan, cisternography0.66 wRVU

    $294.60

How to choose

A9539Tc-99m pentetatePer study dose
A9539 identifies technetium Tc-99m pentetate, while A9548 identifies indium In-111 pentetate. The radiopharmaceutical used determines the code.
A9547Indium-111 oxyquinolinePer 0.5 mCi
A9547 identifies indium In-111 oxyquinoline, used for cell labeling. A9548 identifies indium In-111 pentetate for diagnostic studies.
78630CSF scanCisternography
CPT 78630 identifies the cisternography imaging service; A9548 identifies the indium In-111 pentetate radiopharmaceutical.

A9548 billing questions

What studies commonly use indium-111 pentetate?

It is used in radionuclide cisternography and other cerebrospinal fluid studies, including evaluation of suspected CSF leakage or altered flow.

How many units should be reported?

Each unit represents 0.5 millicurie; 1.0 millicurie corresponds to 2 units.

Does A9548 identify the imaging service?

No. A9548 identifies the radiopharmaceutical; CPT 78630 identifies cisternography.

How does Medicare treat payment and coverage?

Physician fee schedule status C means CMS publishes no national payment and the Medicare Administrative Contractor sets payment for each claim. HCPCS pricing is set by statute, and the contractor determines coverage.

How is A9548 different from A9539?

A9548 identifies indium In-111 pentetate, while A9539 identifies technetium Tc-99m pentetate. Select the code matching the radiopharmaceutical used.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates

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