Showing codes A9541 (Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries) — A9573 (Injection, gadopiclenol, 1 ml)

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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A9558 - Xe133 xenon 10mci
Long description: Xenon xe-133 gas, diagnostic, per 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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A9559 - Co57 cyano
Long description: Cobalt co-57 cyanocobalamin, oral, diagnostic, per study dose, up to 1 microcurie
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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A9560 - Tc99m labeled rbc
Long description: Technetium tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 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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A9561 - Tc99m oxidronate
Long description: Technetium tc-99m oxidronate, diagnostic, per study dose, up to 30 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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A9562 - Tc99m mertiatide
Long description: Technetium tc-99m mertiatide, 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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A9563 - P32 na phosphate
Long description: Sodium phosphate p-32, therapeutic, 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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A9564 - P32 chromic phosphate
Long description: Chromic phosphate p-32 suspension, therapeutic, 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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A9566 - Tc99m fanolesomab
Long description: Technetium tc-99m fanolesomab, 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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A9567 - Technetium tc-99m aerosol
Long description: Technetium tc-99m pentetate, diagnostic, aerosol, per study dose, up to 75 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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A9568 - Technetium tc99m arcitumomab
Long description: Technetium tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicuries
Code added date: 20070101.
Code effective date: 20070101.
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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A9569 - Technetium tc-99m auto wbc
Long description: Technetium tc-99m exametazime labeled autologous white blood cells, diagnostic, per study dose
Code added date: 20080101.
Code effective date: 20080101.
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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A9570 - Indium in-111 auto wbc
Long description: Indium in-111 labeled autologous white blood cells, diagnostic, per study dose
Code added date: 20080101.
Code effective date: 20080101.
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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A9571 - Indium in-111 auto platelet
Long description: Indium in-111 labeled autologous platelets, diagnostic, per study dose
Code added date: 20080101.
Code effective date: 20080101.
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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A9572 - Indium in-111 pentetreotide
Long description: Indium in-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries
Code added date: 20080101.
Code effective date: 20080101.
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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A9573 - Inj, gadopiclenol, 1 ml
Long description: Injection, gadopiclenol, 1 ml
Code added date: 20231001.
Code effective date: 20231001.
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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