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HCPCS code A9560: Labeled red blood cells, per study dose2026 Medicare rate & RVUs

Reports a diagnostic dose of technetium-99m labeled red blood cells used for nuclear imaging, including cardiac blood-pool studies and gastrointestinal bleeding localization.

CMS RVU26DEffective Oct 1, 2026109 payment localities2.4K Medicare services in 2024

Medicare rate · A9560

Labeled red blood cells, per study dose

Office or facility?

Work RVUs
0
Total RVUs
0.00
Global days
XXX

National rate · 2026

—

Not priced in the facility setting.

See every locality for A9560 →Billed by an NP, PA or therapist? →

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 10 sections
  1. Medicare rate
  2. What A9560 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What A9560 covers

A9560 identifies a diagnostic dose of the patient’s red blood cells labeled with technetium-99m. Nuclear medicine teams use the radiopharmaceutical for blood-pool imaging, including cardiac studies of ventricular function and imaging to help locate active gastrointestinal bleeding. The radiopharmaceutical is prepared and administered for the imaging study; the imaging service itself is reported separately when applicable.

Medicare assigns this code physician fee schedule status C, or carrier priced: CMS publishes no national physician fee schedule payment, and the Medicare contractor sets payment for each claim. HCPCS pricing is classified as other contractor pricing, and coverage is left to the Medicare contractor’s judgment. One unit represents one study dose, up to 30 millicuries.

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 A9560 pays more and less

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

109 of 109 payment localities

A9560 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailableUnavailable
AlaskaUnavailableUnavailable
ArizonaUnavailableUnavailable
ArkansasUnavailableUnavailable
Atlanta, GAUnavailableUnavailable
Austin, TXUnavailableUnavailable
Bakersfield, CAUnavailableUnavailable
Baltimore area, MDUnavailableUnavailable
Beaumont, TXUnavailableUnavailable
Brazoria, TXUnavailableUnavailable

A9560 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
A9560 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the A9560 rate is calculated

Each of A9560’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 · A9560

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 A9560

A9560 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 · A9560

Which rate does Medicare pay?

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

POS 11 · non-facility rate · national

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A9560 isn’t priced in this setting.

A9560 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • A9560

    Labeled red blood cells, per study dose0 wRVU

    Not priced

  • A9569

    Tc-99m labeled WBCs, per study dose0 wRVU

    Not priced

  • 78472

    Cardiac blood-pool imaging, single planar equilibrium study0.96 wRVU

    $207.42

  • 78278

    GI bleeding scan, acute blood loss0.97 wRVU

    $305.62

How to choose

A9569Tc-99m labeled WBCsPer study dose
A9560 identifies technetium-99m labeled red blood cells; A9569 identifies technetium-99m labeled white blood cells.
78472Cardiac blood-pool imagingSingle planar equilibrium study
A9560 reports the radiopharmaceutical dose. 78472 reports the cardiac blood-pool imaging service.
78278GI bleeding scanAcute blood loss
A9560 reports the radiopharmaceutical dose; 78278 reports gastrointestinal bleeding imaging.

Codes related to A9560

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to A9560
CodeHow it relatesNational office range
Often billed with
78472Cardiac blood-pool imaging, single planar equilibrium studyCardiac blood-pool imaging that may use the labeled red blood cell dose.$181.78–$286.03
78473Gated heart imaging, multiple studiesFirst-pass cardiac blood-pool imaging that may use this radiopharmaceutical.$234.71–$365.64
78278GI bleeding scan, acute blood lossGastrointestinal bleeding imaging that may use labeled red blood cells.$265.95–$426.92

A9560 billing questions

How many units of A9560 should be reported?

One unit represents one diagnostic study dose, up to 30 millicuries.

Does A9560 include the imaging procedure?

A9560 identifies the radiopharmaceutical dose; the applicable nuclear imaging service is reported separately when performed.

How does Medicare price A9560?

It has physician fee schedule status C, or carrier priced. The Medicare contractor sets payment for each claim, and coverage is left to that contractor’s judgment.

Should A9560 be used for labeled white blood cells?

No. A9560 is for labeled red blood cells. Technetium-99m labeled white blood cells are identified by A9569.

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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