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 |