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Codes are Active/Invoice is Required

For the codes below, no product has been on the market for over 2 years. These codes will require an invoice.

This information was last reviewed on January 23, 2023 and may be subject to change. Please note that no updates have been made to the content so far for 2023.

Code Code Description
A9501 Technetium tc-99m teboroxime, diagnostic, per study dose
A9504 Technetium tc-99m apcitide, diagnostic, per study dose, up to 20 millicuries
A9508 Iobenguane sulfate-Metaiodobenzyl guanidine (MIBG) per 0.5 mCi
A9509 Iodine I-123 Sodium Iodide, diagnostic, per millicurie
A9532 Iodine i-125 serum albumin, diagnostic, per 5 microcuries
A9536 Technetium tc-99m depreotide, diagnostic, per study dose, up to 35 millicuries
A9542 Indium-IN-111 Ibritumomab Tiuxetan, Diagnostic, per study dose, up to 5 mCi's
A9550 Technetium tc-99m sodium gluceptate, diagnostic, per study dose, up to 25 millicurie
A9553 Chromium CR-51 Sodium Chromate, Diagnostic, per study dose, up to 250 microcuries
A9566 Technetium tc-99m fanolesomab, diagnostic, per study dose, up to 25 millicuries
A9568 Technetium tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicuries
A9583 Injection, gadofosveset trisodium, 1 ml
Q9962 High osmolar contrast material, 300-349 mg/ml iodine concentration, per ml
Q9964 High osmolar contrast material, 400 or greater mg/ml iodine concentration, per