HCPCS 2018

A9500 Technetium tc-99m sestamibi, diagnostic, per study dose
A9501 Technetium tc-99m teboroxime, diagnostic, per study dose
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose
A9503 Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries
A9504 Technetium tc-99m apcitide, diagnostic, per study dose, up to 20 millicuries
A9505 Thallium tl-201 thallous chloride, diagnostic, per millicurie
A9507 Indium in-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuries
A9508 Iodine i-131 iobenguane sulfate, diagnostic, per 0.5 millicurie
A9509 Iodine i-123 sodium iodide, diagnostic, per millicurie
A9510 Technetium tc-99m disofenin, diagnostic, per study dose, up to 15 millicuries
A9512 Technetium tc-99m pertechnetate, diagnostic, per millicurie
A9516 Iodine i-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries
A9517 Iodine i-131 sodium iodide capsule(s), therapeutic, per millicurie
A9521 Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries
A9524 Iodine i-131 iodinated serum albumin, diagnostic, per 5 microcuries
A9526 Nitrogen n-13 ammonia, diagnostic, per study dose, up to 40 millicuries
A9527 Iodine i-125, sodium iodide solution, therapeutic, per millicurie
A9528 Iodine i-131 sodium iodide capsule(s), diagnostic, per millicurie
A9529 Iodine i-131 sodium iodide solution, diagnostic, per millicurie
A9530 Iodine i-131 sodium iodide solution, therapeutic, per millicurie
A9531 Iodine i-131 sodium iodide, diagnostic, per microcurie (up to 100 microcuries)
A9532 Iodine i-125 serum albumin, diagnostic, per 5 microcuries
A9536 Technetium tc-99m depreotide, diagnostic, per study dose, up to 35 millicuries
A9537 Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries
A9538 Technetium tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries
A9539 Technetium tc-99m pentetate, diagnostic, per study dose, up to 25 millicuries
A9540 Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries
A9541 Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries
A9542 Indium in-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5 millicuries
A9543 Yttrium y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up to 40 millicuries
A9546 Cobalt co-57/58, cyanocobalamin, diagnostic, per study dose, up to 1 microcurie
A9547 Indium in-111 oxyquinoline, diagnostic, per 0.5 millicurie
A9548 Indium in-111 pentetate, diagnostic, per 0.5 millicurie
A9550 Technetium tc-99m sodium gluceptate, diagnostic, per study dose, up to 25 millicurie
A9551 Technetium tc-99m succimer, diagnostic, per study dose, up to 10 millicuries
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries
A9553 Chromium cr-51 sodium chromate, diagnostic, per study dose, up to 250 microcuries
A9554 Iodine i-125 sodium iothalamate, diagnostic, per study dose, up to 10 microcuries
A9555 Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries
A9556 Gallium ga-67 citrate, diagnostic, per millicurie
A9557 Technetium tc-99m bicisate, diagnostic, per study dose, up to 25 millicuries
A9558 Xenon xe-133 gas, diagnostic, per 10 millicuries
A9559 Cobalt co-57 cyanocobalamin, oral, diagnostic, per study dose, up to 1 microcurie
A9560 Technetium tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries
A9561 Technetium tc-99m oxidronate, diagnostic, per study dose, up to 30 millicuries
A9562 Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries
A9563 Sodium phosphate p-32, therapeutic, per millicurie
A9564 Chromic phosphate p-32 suspension, therapeutic, per millicurie
A9566 Technetium tc-99m fanolesomab, diagnostic, per study dose, up to 25 millicuries
A9567 Technetium tc-99m pentetate, diagnostic, aerosol, per study dose, up to 75 millicuries
A9568 Technetium tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicuries
A9569 Technetium tc-99m exametazime labeled autologous white blood cells, diagnostic, per study dose
A9570 Indium in-111 labeled autologous white blood cells, diagnostic, per study dose
A9571 Indium in-111 labeled autologous platelets, diagnostic, per study dose
A9572 Indium in-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries
A9575 Injection, gadoterate meglumine, 0.1 ml
A9576 Injection, gadoteridol, (prohance multipack), per ml
A9577 Injection, gadobenate dimeglumine (multihance), per ml
A9578 Injection, gadobenate dimeglumine (multihance multipack), per ml
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml
A9580 Sodium fluoride f-18, diagnostic, per study dose, up to 30 millicuries
A9581 Injection, gadoxetate disodium, 1 ml
A9582 Iodine i-123 iobenguane, diagnostic, per study dose, up to 15 millicuries
A9583 Injection, gadofosveset trisodium, 1 ml
A9584 Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries
A9585 Injection, gadobutrol, 0.1 ml
A9586 Florbetapir f18, diagnostic, per study dose, up to 10 millicuries
A9587 Gallium ga-68, dotatate, diagnostic, 0.1 millicurie
A9588 Fluciclovine f-18, diagnostic, 1 millicurie
A9597 Positron emission tomography radiopharmaceutical, diagnostic, for tumor identification, not otherwise classified
A9598 Positron emission tomography radiopharmaceutical, diagnostic, for non-tumor identification, not otherwise classified
A9600 Strontium sr-89 chloride, therapeutic, per millicurie
A9604 Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries
A9606 Radium ra-223 dichloride, therapeutic, per microcurie
A9698 Non-radioactive contrast imaging material, not otherwise classified, per study
A9699 Radiopharmaceutical, therapeutic, not otherwise classified
A9700 Supply of injectable contrast material for use in echocardiography, per study