Showing codes A9575 (Injection, gadoterate meglumine, 0.1 ml) — A9606 (Radium ra-223 dichloride, therapeutic, per microcurie)

A9575 - Inj gadoterate meglumi 0.1ml
Long description: Injection, gadoterate meglumine, 0.1 ml
Code added date: 20140101.
Code effective date: 20140101.
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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A9576 - Inj prohance multipack
Long description: Injection, gadoteridol, (prohance multipack), per ml
Code added date: 20080101.
Code effective date: 20080101.
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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A9577 - Inj multihance
Long description: Injection, gadobenate dimeglumine (multihance), per ml
Code added date: 20080101.
Code effective date: 20080101.
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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A9578 - Inj multihance multipack
Long description: Injection, gadobenate dimeglumine (multihance multipack), per ml
Code added date: 20080101.
Code effective date: 20080101.
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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A9579 - Gad-base mr contrast nos,1ml
Long description: Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml
Code added date: 20080101.
Code effective date: 20080101.
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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A9580 - Sodium fluoride f-18
Long description: Sodium fluoride f-18, diagnostic, per study dose, up to 30 millicuries
Code added date: 20090101.
Code effective date: 20090101.
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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A9581 - Gadoxetate disodium inj
Long description: Injection, gadoxetate disodium, 1 ml
Code added date: 20100101.
Code effective date: 20100101.
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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A9582 - Iodine i-123 iobenguane
Long description: Iodine i-123 iobenguane, diagnostic, per study dose, up to 15 millicuries
Code added date: 20100101.
Code effective date: 20100101.
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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A9583 - Gadofosveset trisodium inj
Long description: Injection, gadofosveset trisodium, 1 ml
Code added date: 20100101.
Code effective date: 20100101.
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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A9584 - Iodine i-123 ioflupane
Long description: Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries
Code added date: 20120101.
Code effective date: 20120101.
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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A9585 - Gadobutrol injection
Long description: Injection, gadobutrol, 0.1 ml
Code added date: 20120101.
Code effective date: 20120101.
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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A9586 - Florbetapir f18
Long description: Florbetapir f18, diagnostic, per study dose, up to 10 millicuries
Code added date: 20130101.
Code effective date: 20240101.
Pricing Indicator Code(s): 00 ; (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: D (A code denoting Medicare coverage status).
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A9587 - Gallium ga-68
Long description: Gallium ga-68, dotatate, diagnostic, 0.1 millicurie
Code added date: 20170101.
Code effective date: 20240101.
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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A9588 - Fluciclovine f-18
Long description: Fluciclovine f-18, diagnostic, 1 millicurie
Code added date: 20170101.
Code effective date: 20240101.
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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A9589 - Insti hexaminolevulinate hcl
Long description: Instillation, hexaminolevulinate hydrochloride, 100 mg
Code added date: 20190101.
Code effective date: 20190101.
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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A9590 - Iodine i-131 iobenguane 1mci
Long description: Iodine i-131, iobenguane, 1 millicurie
Code added date: 20200101.
Code effective date: 20200101.
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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A9591 - Fluoroestradiol f 18
Long description: Fluoroestradiol f 18, diagnostic, 1 millicurie
Code added date: 20210101.
Code effective date: 20240101.
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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A9592 - Copper cu 64 dotatate diag
Long description: Copper cu-64, dotatate, diagnostic, 1 millicurie
Code added date: 20210401.
Code effective date: 20240101.
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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A9593 - Gallium ga-68 psma-11 ucsf
Long description: Gallium ga-68 psma-11, diagnostic, (ucsf), 1 millicurie
Code added date: 20210701.
Code effective date: 20211001.
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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A9594 - Gallium ga-68 psma-11, ucla
Long description: Gallium ga-68 psma-11, diagnostic, (ucla), 1 millicurie
Code added date: 20210701.
Code effective date: 20211001.
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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A9595 - Piflu f-18, dia 1 millicurie
Long description: Piflufolastat f-18, diagnostic, 1 millicurie
Code added date: 20220101.
Code effective date: 20220101.
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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A9596 - Gallium illuccix 1 millicure
Long description: Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie
Code added date: 20220701.
Code effective date: 20220701.
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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A9597 - Pet, dx, for tumor id, noc
Long description: Positron emission tomography radiopharmaceutical, diagnostic, for tumor identification, not otherwise classified
Code added date: 20170101.
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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A9598 - Pet dx for non-tumor id, noc
Long description: Positron emission tomography radiopharmaceutical, diagnostic, for non-tumor identification, not otherwise classified
Code added date: 20170101.
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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A9599 - Radioph dx b amyloid pet nos
Long description: Radiopharmaceutical, diagnostic, for beta-amyloid positron emission tomography (pet) imaging, per study dose, not otherwise specified
Code added date: 20140101.
Code effective date: 20180101.
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: D (A code denoting Medicare coverage status).
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A9600 - Sr89 strontium
Long description: Strontium sr-89 chloride, therapeutic, per millicurie
Code added date: 19980101.
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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A9601 - Flortaucipir inj 1 millicuri
Long description: Flortaucipir f 18 injection, diagnostic, 1 millicurie
Code added date: 20220701.
Code effective date: 20220701.
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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A9602 - Fluorodopa f-18 diag per mci
Long description: Fluorodopa f-18, diagnostic, per millicurie
Code added date: 20221001.
Code effective date: 20221001.
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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A9603 - Inj, pafolacianine, 0.1 mg
Long description: Injection, pafolacianine, 0.1 mg
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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A9604 - Sm 153 lexidronam
Long description: Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries
Code added date: 20100101.
Code effective date: 20100101.
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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A9606 - Radium ra223 dichloride ther
Long description: Radium ra-223 dichloride, therapeutic, per microcurie
Code added date: 20150101.
Code effective date: 20180101.
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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