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COVID-19

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.

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