Q9969 Non-heu tc-99m add-on/dose

Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose

Payer policies and prior authorization for Q9969

Medicaid fee-for-service

Prior authorization required or conditional in IN.

From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.