A9541 Medicare Reimbursement Rate (2026)
Current CMS pricing and breakdown for Technetium tc-99m sulfur colloid, diagnostic, per study dose....
National Average Payment
Non-Facility (Private Office) Rate
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Code Description
Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries
Local Estimate Demo
Pick a demo zip (or type yours) and choose the setting. Then jump into MedFeeSchedule's Medicare Physician Fee Schedule Lookup Tool to calculate your locality-adjusted estimate.
How is this calculated?
Here’s the transparent math behind the estimate for HCPCS Level II code A9541. For locality-adjusted results, use MedFeeSchedule's Medicare Physician Fee Schedule Lookup Tool.
Status: Contractor Priced
Price is set by your local MAC, not nationally.
If a local estimate applies, run this code in MedFeeSchedule's Medicare Physician Fee Schedule Lookup Tool and confirm final guidance through CMS or your local MAC.
Reimbursement Summary
A9541 is a HCPCS Level II code in the category “Physician Service.” Medicare does not publish a single national payment amount for this code in 2026 (Contractor Priced). Price is set by your local MAC, not nationally.
To estimate a local payment amount when available, use MedFeeSchedule's Medicare Physician Fee Schedule Lookup Tool on the homepage and confirm final pricing guidance through CMS or your local Medicare Administrative Contractor (MAC).
Facility vs. Non-Facility (Office) Payment
Medicare often publishes two payment rates for the same code: a **non-facility** rate (typically used when the service is performed in a private office where the clinician bears more overhead) and a **facility** rate (typically used when performed in a hospital or facility where the facility bills separately for its costs).
Because the practice expense portion of RVUs differs by setting, the non-facility and facility payment amounts can be different. For locality-adjusted estimates in 2026, use MedFeeSchedule's Medicare Physician Fee Schedule Lookup Tool.
Q2 2026 Breakdown
| Component | Office (Non-Fac) | Facility (Hosp) |
|---|---|---|
| Work RVU | 0 | 0 |
| Practice Expense (PE) | 0 | 0 |
| Malpractice (MP) | 0 | 0 |
| Total RVUs | 0.00 | 0.00 |
Historical Medicare Reimbursement
| Year | Non-Facility Rate | Facility Rate | Year-over-Year % Change |
|---|---|---|---|
| 2026 | Coming Soon (Pro) | Coming Soon (Pro) | Coming Soon |
| 2025 | Coming Soon (Pro) | Coming Soon (Pro) | Coming Soon |
| 2024 | Coming Soon (Pro) | Coming Soon (Pro) | Coming Soon |
| 2023 | Coming Soon (Pro) | Coming Soon (Pro) | Coming Soon |
Historical trends and quarterly breakouts are launching as part of Pro. This preview shows where multi-year analytics will appear once the full dataset is available.
Pro includes historical graphs, deeper year ranges, and export tools. Learn more and join early access.
View Pro Plan (Coming Soon)Learn How This Reimbursement Is Calculated
Medicare reimbursement is determined by RVUs, geographic adjustments, and the annual conversion factor.
Frequently Asked Questions
What is the 2026 Medicare rate for A9541?
Medicare does not publish a single national rate for A9541 because it is contractor-priced. Payment is determined by your local MAC (Price is set by your local MAC, not nationally.).
What is the description for code A9541?
Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries
Why do facility and non-facility payments differ for A9541?
For many physician services, Medicare publishes different practice-expense RVUs by setting. In general, non-facility rates apply when services are performed in a private office, while facility rates apply when performed in a hospital or facility where the facility bills separately.
How can I find my local Medicare rate for A9541?
Use MedFeeSchedule's Medicare Physician Fee Schedule Lookup Tool on the homepage to estimate your locality-adjusted reimbursement. Medicare payment can vary based on geographic adjustments (GPCI), place of service, and claim specifics.
Is A9541 covered by Medicare?
Coverage depends on medical necessity, setting, and Medicare policy. Some codes may be bundled, contractor-priced, or restricted. Verify final coverage guidance through CMS or your local MAC when applicable.