Showing codes A9520 (Technetium tc-99m tilmanocept, diagnostic, up to 0.5 millicuries) — A9557 (Technetium tc-99m bicisate, diagnostic, per study dose, up to 25 millicuries)

A9520 - Tc99 tilmanocept diag 0.5mci
Long description: Technetium tc-99m tilmanocept, diagnostic, up to 0.5 millicuries
Code added date: 20140101.
Code effective date: 20160101.
Pricing Indicator Code(s): 57 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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A9521 - Tc99m exametazime
Long description: Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries
Code added date: 20030101.
Code effective date: 20060101.
Pricing Indicator Code(s): 57 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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A9524 - I131 serum albumin, dx
Long description: Iodine i-131 iodinated serum albumin, diagnostic, per 5 microcuries
Code added date: 20030101.
Code effective date: 20060101.
Pricing Indicator Code(s): 57 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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A9526 - Nitrogen n-13 ammonia
Long description: Nitrogen n-13 ammonia, diagnostic, per study dose, up to 40 millicuries
Code added date: 20040101.
Code effective date: 20060101.
Pricing Indicator Code(s): 53 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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A9527 - Iodine i-125 sodium iodide
Long description: Iodine i-125, sodium iodide solution, therapeutic, per millicurie
Code added date: 20070101.
Code effective date: 20070101.
Pricing Indicator Code(s): 57 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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A9528 - Iodine i-131 iodide cap, dx
Long description: Iodine i-131 sodium iodide capsule(s), diagnostic, per millicurie
Code added date: 20040101.
Code effective date: 20060101.
Pricing Indicator Code(s): 57 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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A9529 - I131 iodide sol, dx
Long description: Iodine i-131 sodium iodide solution, diagnostic, per millicurie
Code added date: 20040101.
Code effective date: 20060101.
Pricing Indicator Code(s): 57 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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A9530 - I131 iodide sol, rx
Long description: Iodine i-131 sodium iodide solution, therapeutic, per millicurie
Code added date: 20040101.
Code effective date: 20060101.
Pricing Indicator Code(s): 57 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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A9531 - I131 max 100uci
Long description: Iodine i-131 sodium iodide, diagnostic, per microcurie (up to 100 microcuries)
Code added date: 20040101.
Code effective date: 20060101.
Pricing Indicator Code(s): 57 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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A9532 - I125 serum albumin, dx
Long description: Iodine i-125 serum albumin, diagnostic, per 5 microcuries
Code added date: 20040101.
Code effective date: 20060101.
Pricing Indicator Code(s): 57 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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A9536 - Tc99m depreotide
Long description: Technetium tc-99m depreotide, diagnostic, per study dose, up to 35 millicuries
Code added date: 20060101.
Code effective date: 20060101.
Pricing Indicator Code(s): 57 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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A9537 - Tc99m mebrofenin
Long description: Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries
Code added date: 20060101.
Code effective date: 20060101.
Pricing Indicator Code(s): 57 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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A9538 - Tc99m pyrophosphate
Long description: Technetium tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries
Code added date: 20060101.
Code effective date: 20060101.
Pricing Indicator Code(s): 57 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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A9539 - Tc99m pentetate
Long description: Technetium tc-99m pentetate, diagnostic, per study dose, up to 25 millicuries
Code added date: 20060101.
Code effective date: 20060101.
Pricing Indicator Code(s): 57 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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A9540 - Tc99m maa
Long description: Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries
Code added date: 20060101.
Code effective date: 20060101.
Pricing Indicator Code(s): 57 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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A9541 - Tc99m sulfur colloid
Long description: Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries
Code added date: 20060101.
Code effective date: 20060101.
Pricing Indicator Code(s): 57 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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A9542 - In111 ibritumomab, dx
Long description: Indium in-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5 millicuries
Code added date: 20060101.
Code effective date: 20060101.
Pricing Indicator Code(s): 51 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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A9543 - Y90 ibritumomab, rx
Long description: Yttrium y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up to 40 millicuries
Code added date: 20060101.
Code effective date: 20060101.
Pricing Indicator Code(s): 51 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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A9544 - I131 tositumomab, dx
Long description: Iodine i-131 tositumomab, diagnostic, per study dose
Code added date: 20060101.
Code effective date: 20170101.
Pricing Indicator Code(s): 57 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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A9545 - I131 tositumomab, rx
Long description: Iodine i-131 tositumomab, therapeutic, per treatment dose
Code added date: 20060101.
Code effective date: 20170101.
Pricing Indicator Code(s): 57 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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A9546 - Co57/58
Long description: Cobalt co-57/58, cyanocobalamin, diagnostic, per study dose, up to 1 microcurie
Code added date: 20060101.
Code effective date: 20060101.
Pricing Indicator Code(s): 53 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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A9547 - In111 oxyquinoline
Long description: Indium in-111 oxyquinoline, diagnostic, per 0.5 millicurie
Code added date: 20060101.
Code effective date: 20060101.
Pricing Indicator Code(s): 53 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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A9548 - In111 pentetate
Long description: Indium in-111 pentetate, diagnostic, per 0.5 millicurie
Code added date: 20060101.
Code effective date: 20060101.
Pricing Indicator Code(s): 53 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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A9550 - Tc99m gluceptate
Long description: Technetium tc-99m sodium gluceptate, diagnostic, per study dose, up to 25 millicurie
Code added date: 20060101.
Code effective date: 20060101.
Pricing Indicator Code(s): 53 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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A9551 - Tc99m succimer
Long description: Technetium tc-99m succimer, diagnostic, per study dose, up to 10 millicuries
Code added date: 20060101.
Code effective date: 20060101.
Pricing Indicator Code(s): 53 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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A9552 - F18 fdg
Long description: Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries
Code added date: 20060101.
Code effective date: 20060101.
Pricing Indicator Code(s): 53 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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A9553 - Cr51 chromate
Long description: Chromium cr-51 sodium chromate, diagnostic, per study dose, up to 250 microcuries
Code added date: 20060101.
Code effective date: 20060101.
Pricing Indicator Code(s): 53 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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A9554 - I125 iothalamate, dx
Long description: Iodine i-125 sodium iothalamate, diagnostic, per study dose, up to 10 microcuries
Code added date: 20060101.
Code effective date: 20060101.
Pricing Indicator Code(s): 53 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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A9555 - Rb82 rubidium
Long description: Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries
Code added date: 20060101.
Code effective date: 20060101.
Pricing Indicator Code(s): 99 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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A9556 - Ga67 gallium
Long description: Gallium ga-67 citrate, diagnostic, per millicurie
Code added date: 20060101.
Code effective date: 20060101.
Pricing Indicator Code(s): 57 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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A9557 - Tc99m bicisate
Long description: Technetium tc-99m bicisate, diagnostic, per study dose, up to 25 millicuries
Code added date: 20060101.
Code effective date: 20060101.
Pricing Indicator Code(s): 57 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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