{
    "code": "A9580",
    "coding_system": "HCPCS",
    "canonical_url": "https://localishealth.com/hcpcs/A9580",
    "release_specific_url": "https://localishealth.com/hcpcs/A9580/2026/D",
    "description": "Sodium fluoride f-18",
    "answer": {
        "question": "What is the Medicare allowed amount for HCPCS A9580?",
        "text": "HCPCS A9580 carries status C (carrier-priced) in the Q4 2026 release, so there is no single national rate—Medicare contractors publish their own amounts. Your Medicare Administrative Contractor prices this code case by case, usually after reviewing documentation. Contractor-published amounts on file range $278.78 across 31 localities; enter a ZIP for the exact local amount."
    },
    "release": {
        "schedule": "pfs",
        "year": 2026,
        "quarter": "D",
        "label": "Q4 2026",
        "effective": "October 1 – December 31, 2026",
        "revision": 2
    },
    "status": {
        "code": "C",
        "non_facility_payable": false,
        "facility_payable": false
    },
    "national_rates_usd": {
        "office_non_facility": null,
        "facility": null,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": null,
        "practice_expense_non_facility": null,
        "practice_expense_facility": null,
        "malpractice": null
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 33.4009,
    "ncci": {
        "release": "Q4 2026",
        "never_billable_pair_count": 2,
        "modifier_allowed_pair_count": 1,
        "mue_units_per_date_of_service": 1,
        "url": "https://localishealth.com/hcpcs/A9580/ncci-edits",
        "complete_text_url": "https://localishealth.com/hcpcs/A9580/ncci-edits.txt"
    },
    "source": {
        "label": "Physician relative value file (Q4 2026)",
        "cms_url": "https://www.cms.gov/files/zip/rvu26d-updated-08-26-2026.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2026/D",
        "file": "PPRRVU2026_Oct_nonQPP.csv",
        "row": 14001,
        "sha256": "4d0d3f19bd954ffc0f5b8439169d267da023d4f6911f4539bb6e98723cb1a626"
    },
    "modified_at": "2026-09-14T06:27:37+00:00"
}