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

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, 20263 payment localities2.4K Medicare services in 2024

CMS doesn’t publish an office rate for A9560 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 A9560 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 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 in Missouri

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

A9560 office and facility rates by payment locality
Payment localityOfficeFacility
Metropolitan Kansas City, MOUnavailableUnavailable
Metropolitan St. Louis, MOUnavailableUnavailable
Rest of MissouriUnavailableUnavailable

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

—

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.

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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