HCPCS Service Codes - Diagnostic radiology

HCPCS Codes for Diagnostic radiology

• A9569

  Technetium tc-99m exametazime labeled autologous white blood cells, diagnostic, per study dose

• A9570

  Indium in-111 labeled autologous white blood cells, diagnostic, per study dose

• A9571

  Indium in-111 labeled autologous platelets, diagnostic, per study dose

• A9572

  Indium in-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries

• A9573

  Injection, gadopiclenol, 1 ml

• A9575

  Injection, gadoterate meglumine, 0.1 ml

• A9576

  Injection, gadoteridol, (prohance multipack), per ml

• A9577

  Injection, gadobenate dimeglumine (multihance), per ml

• A9578

  Injection, gadobenate dimeglumine (multihance multipack), per ml

• A9579

  Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml

• A9580

  Sodium fluoride f-18, diagnostic, per study dose, up to 30 millicuries

• A9582

  Iodine i-123 iobenguane, diagnostic, per study dose, up to 15 millicuries

• A9583

  Injection, gadofosveset trisodium, 1 ml

• A9584

  Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries

• A9585

  Injection, gadobutrol, 0.1 ml

• A9586

  Florbetapir f18, diagnostic, per study dose, up to 10 millicuries

• A9587

  Gallium ga-68, dotatate, diagnostic, 0.1 millicurie

• A9588

  Fluciclovine f-18, diagnostic, 1 millicurie

• A9589

  Instillation, hexaminolevulinate hydrochloride, 100 mg

• A9590

  Iodine i-131, iobenguane, 1 millicurie

• A9591

  Fluoroestradiol f 18, diagnostic, 1 millicurie

• A9592

  Copper cu-64, dotatate, diagnostic, 1 millicurie

• A9593

  Gallium ga-68 psma-11, diagnostic, (ucsf), 1 millicurie

• A9594

  Gallium ga-68 psma-11, diagnostic, (ucla), 1 millicurie

• A9595

  Piflufolastat f-18, diagnostic, 1 millicurie

• A9596

  Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie

• A9597

  Positron emission tomography radiopharmaceutical, diagnostic, for tumor identification, not otherwise classified

• A9598

  Positron emission tomography radiopharmaceutical, diagnostic, for non-tumor identification, not otherwise classified

• A9599

  Radiopharmaceutical, diagnostic, for beta-amyloid positron emission tomography (pet) imaging, per study dose, not otherwise specified

• A9601

  Flortaucipir f 18 injection, diagnostic, 1 millicurie

• A9602

  Fluorodopa f-18, diagnostic, per millicurie

• A9603

  Injection, pafolacianine, 0.1 mg

• A9606

  Radium ra-223 dichloride, therapeutic, per microcurie

• A9608

  Flotufolastat f 18, diagnostic, 1 millicurie

• A9610

  Xenon xe-129 hyperpolarized gas, diagnostic, per study dose

• A9611

  Flurpiridaz f 18, diagnostic, 1 millicurie

• A9612

  Injection, fluorescein, 1 mg

• A9615

  Injection, pegulicianine, 1 mg

• A9616

  Gallium ga-68 gozetotide (gozellix), diagnostic, 1 millicurie

• A9697

  Injection, carboxydextran-coated superparamagnetic iron oxide, per study dose

• A9698

  Non-radioactive contrast imaging material, not otherwise classified, per study

• A9800

  Gallium ga-68 gozetotide, diagnostic, (locametz), 1 millicurie

• C2637

  Brachytherapy source, non-stranded, ytterbium-169, per source

• C2639

  Brachytherapy source, non-stranded, iodine-125, per source

• C2640

  Brachytherapy source, stranded, palladium-103, per source

• C2641

  Brachytherapy source, non-stranded, palladium-103, per source

• C2642

  Brachytherapy source, stranded, cesium-131, per source

• C2643

  Brachytherapy source, non-stranded, cesium-131, per source

• C2698

  Brachytherapy source, stranded, not otherwise specified, per source

• C2699

  Brachytherapy source, non-stranded, not otherwise specified, per source