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Navigator® for Diagnostic Radiology, 2020 Edition National Correct Coding Initiative (NCCI) Edit Updates Effective 4/1/2020

After reviewing the April 1, 2020 updates to the NCCI edits, there is good news to share. No new edits were

added this quarter and no edits were changed this quarter. As promised, the edit for the modified barium

swallow when reported with the speech pathologist service was deleted as were several edits that applied to

nuclear medicine studies.

Nuclear Medicine Edits:

On January 1, 2020, the Centers for Medicare and Medicaid Services (CMS) implemented new Procedure-to-

Procedure (PTP) NCCI edits that bundled certain radiopharmaceuticals with Nuclear Medicine CPT® codes with

the rationale listed as “Misuse of column two code with column one code”. Later in January, after reviewing

this issue more closely, CMS made the decision to revise these PTP edits. The changes were made retroactive

to January 1, 2020.

Effective April 1, 2020, these edit changes can be found updated on the CMS website. Although the specific

radiopharmaceutical code edits vary slightly from one code to the next, some of the edits that were in place for

2020 have now been removed. It is important to note that not all of the edits for the radiopharmaceuticals have

been removed.

Bone and Joint Nuclear Medicine Studies (CPT® Codes 78300 thru 78315): As an example, the

radiopharmaceutical edits for Tc-99m medronate (A9503), TC-99m oxidronate (A9561), and Indium 111

labeled autologous platelets (A9571), have been removed for 78300 bone and/or joint imaging, limited

area.

Myocardial PET and PET-CT Nuclear Medicine Studies (CPT® Codes: 78429 thru 78434): An example of

the radiopharmaceutical edits removed for the myocardial PET and PET-CT is as follows: Tc-99m

medronate (A9503), Nitrogen N-13 ammonia (A9526), Tc-99m microaggregated albumin (A9540), F-18

FDG (A9552), Rubidium Rb-82 (A9555), and Xenon Xe-133 gas (A9558) have no longer have edits with

78432 Myocardial PET perfusion and metabolic evaluation dual radiotracer.

Tumor Localization, Inflammatory Process or Distribution of Radiopharmaceutical Agent Nuclear

Medicine Studies including planar, SPECT and SPECT-CT (CPT® Codes: 78800 thru 78832): This series of

codes has the most CCI edit deletions. This code series had edits for between 18 and 40

radiopharmaceutical edits deleted. Rather than provide an example that includes 18 or more

radiopharmaceuticals, we have created a chart that provides the CPT® code and list of

radiopharmaceuticals for that CPT® code that no longer have edits.

A table of the NCCI edit changes for Nuclear Medicine has been added to the end of this supplement.

1

877-626-3464 • 1501 Volta Drive, Suite 100 Cedar Park, TX 78641 • www.RCCSinc.comCopyright © 2020, Revenue Cycle Coding Strategies All Rights Reserved. CPT only® 2019 American Medical Association All Rights Reserved

The following link will direct providers to the CMS website where the revised NCCI edit files are available to

download:

https://www.cms.gov/Medicare/Coding/NationalCorrectCodInitEd/Version_Update_Changes

Modified Barium Swallow edits:

Changes have been made to the NCCI edit that bundled the Modified Barium Swallow Study into the Speech

Pathologist code 92611.

The deletion of the edit was published on 4/1/2020 but the effective date for the deletion is 1/1/2020. This

means that CPT® code 92611 Swallowing Function with the Speech Pathologist and CPT® code 74230 Modified

Barium Swallow can now be reported together, providers can expect claims to be processed, and it is retroactive

to the beginning of the year.

Next Steps:

When CMS determined they were going to revise the edits, they advised providers that they had a few options.

1. Providers may choose to delay submission of claims for deleted edits until after the implementation of

the replacement edit file (4/1/2020) with retroactive date of January 1, 2020,

2. Providers may also choose to appeal claims denied due to the PTP edits to the appropriate MAC including

supporting documentation, or

3. Providers may resubmit claims denied due to these procedure to procedure edits after the

implementation of the replacement edit file (4/1/2020) with January 1, 2020 retroactive date, as

permitted by the MAC.

If Option 1 is chosen, providers may now submit those claims and expect processing for payment. If denied

claims have been received, providers may now resubmit those claims with dates of service back to January 1,

2020 and expect them to be processed.

2

CPT® Description HCPCS DescriptionA9503 Technetium Tc-99m medronate, diagnostic, per study dose, up to 30 millicuriesA9561 Technetium Tc-99m oxidronate, diagnostic, per study dose, up to 30 millicuriesA9571 Indium In-111 labeled autologous platelets, diagnostic, per study doseA4642 Indium In-111 satumomab pendetide, diagnostic, per study dose, up to 6 millicuriesA9503 Technetium Tc-99m medronate, diagnostic, per study dose, up to 30 millicuriesA9561 Technetium Tc-99m oxidronate, diagnostic, per study dose, up to 30 millicuriesA9571 Indium In-111 labeled autologous platelets, diagnostic, per study doseA9503 Technetium Tc-99m medronate, diagnostic, per study dose, up to 30 millicuriesA9508 Iodine I-131 iobenguane sulfate, diagnostic, per 0.5 millicurieA9524 Iodine I-131 iodinated serum albumin, diagnostic, per 5 microcuriesA9542 Indium In-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5 millicuries**A9561 Technetium Tc-99m oxidronate, diagnostic, per study dose, up to 30 millicuriesA9566 Technetium Tc-99m fanolesomab, diagnostic, per study dose, up to 25 millicuries*A9571 Indium In-111 labeled autologous platelets, diagnostic, per study doseA9503 Technetium Tc-99m medronate, diagnostic, per study dose, up to 30 millicuriesA9505 Thallium Tl-201 thallous chloride, diagnostic, per millicurieA9528 Iodine I-131 sodium iodide capsule(s), diagnostic, per millicurieA9560 Technetium Tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuriesA9561 Technetium Tc-99m oxidronate, diagnostic, per study dose, up to 30 millicuries

A9552 Fluorodeoxyglucose F-18 FDG, diagnostic, per study dose, up to 45 millicuries

A9558 Xenon Xe-133 gas, diagnostic, per 10 millicuries

A9503 Technetium Tc-99m medronate, diagnostic, per study dose, up to 30 millicuries

A9526 Nitrogen N-13 ammonia, diagnostic, per study dose, up to 40 millicuries

A9555 Rubidium Rb-82, diagnostic, per study dose, up to 60 millicuriesA4641 Radiopharmaceutical, diagnostic, not otherwise classifiedA9503 Technetium Tc-99m medronate, diagnostic, per study dose, up to 30 millicuriesA9510 Technetium Tc-99m disofenin, diagnostic, per study dose, up to 15 millicuriesA9516 Iodine I-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuriesA9524 Iodine I-131 iodinated serum albumin, diagnostic, per 5 microcuriesA9537 Technetium Tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuriesA9539 Technetium Tc-99m pentetate, diagnostic, per study dose, up to 25 millicuriesA9540 Technetium Tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuriesA9541 Technetium Tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuriesA9558 Xenon Xe-133 gas, diagnostic, per 10 millicuriesA9560 Technetium Tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuriesA9567 Technetium Tc-99m pentetate, diagnostic, aerosol, per study dose, up to 75 millicuriesA9503 Technetium Tc-99m medronate, diagnostic, per study dose, up to 30 millicuriesA9526 Nitrogen N-13 ammonia, diagnostic, per study dose, up to 40 millicuriesA9540 Technetium Tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuriesA9552 Fluorodeoxyglucose F-18 FDG, diagnostic, per study dose, up to 45 millicuriesA9555 Rubidium Rb-82, diagnostic, per study dose, up to 60 millicuriesA9558 Xenon Xe-133 gas, diagnostic, per 10 millicuries

A9503 Technetium Tc-99m medronate, diagnostic, per study dose, up to 30 millicuries

A9526 Nitrogen N-13 ammonia, diagnostic, per study dose, up to 40 millicuries

A9540 Technetium Tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries

A9552 Fluorodeoxyglucose F-18 FDG, diagnostic, per study dose, up to 45 millicuries

A9555 Rubidium Rb-82, diagnostic, per study dose, up to 60 millicuries

A9558 Xenon Xe-133 gas, diagnostic, per 10 millicuriesA4641 Radiopharmaceutical, diagnostic, not otherwise classifiedA9503 Technetium Tc-99m medronate, diagnostic, per study dose, up to 30 millicuriesA9510 Technetium Tc-99m disofenin, diagnostic, per study dose, up to 15 millicuriesA9516 Iodine I-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuriesA9524 Iodine I-131 iodinated serum albumin, diagnostic, per 5 microcuriesA9537 Technetium Tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuriesA9539 Technetium Tc-99m pentetate, diagnostic, per study dose, up to 25 millicuriesA9540 Technetium Tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuriesA9541 Technetium Tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuriesA9552 Fluorodeoxyglucose F-18 FDG, diagnostic, per study dose, up to 45 millicuriesA9558 Xenon Xe-133 gas, diagnostic, per 10 millicuriesA9560 Technetium Tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuriesA9567 Technetium Tc-99m pentetate, diagnostic, aerosol, per study dose, up to 75 millicuries

A9500 Technetium Tc-99m sestamibi, diagnostic, per study doseA9502 Technetium Tc-99m tetrofosmin, diagnostic, per study doseA9505 Thallium Tl-201 thallous chloride, diagnostic, per millicurieA9507 Indium In-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuriesA9516 Iodine I-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuriesA9524 Iodine I-131 iodinated serum albumin, diagnostic, per 5 microcuries

78434

Absolute quantitation of myocardial blood flow (AQMBF), positron emission tomography (PET), rest and pharmacologic stress (List separately in addition to code for primary procedure)

78431

Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic), with concurrently acquired computed tomography transmission scan

78432

Myocardial imaging, positron emission tomography (PET), combined perfusion with metabolic evaluation study (including ventricular wall motion[s] and/or ejection fraction[s], when performed), dual radiotracer (eg, myocardial viability);

78433

Myocardial imaging, positron emission tomography (PET), combined perfusion with metabolic evaluation study (including ventricular wall motion[s] and/or ejection fraction[s], when performed), dual radiotracer (eg, myocardial viability); with concurrently acquired computed tomography transmission scan

78315 Bone and/or joint imaging; 3 phase study

78429

Myocardial imaging, positron emission tomography (PET), metabolic evaluation study (including ventricular wall motion[s] and/or ejection fraction[s], when performed), single study; with concurrently acquired computed tomography transmission scan

78430

Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic), with concurrently acquired computed tomography transmission scan

78306 Bone and/or joint imaging; whole body

Table of Nuclear Medicine Codes with Radiopharmaceutical Codes that CCI Edits Were Deleted Effective April 1, 2020

78300 Bone and/or joint imaging; limited area

78305 Bone and/or joint imaging; multiple areas

3

A9528 Iodine I-131 sodium iodide capsule(s), diagnostic, per millicurieA9539 Technetium Tc-99m pentetate, diagnostic, per study dose, up to 25 millicuriesA9540 Technetium Tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuriesA9541 Technetium Tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuriesA9542 Indium In-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5 millicuries**A9557 Technetium Tc-99m bicisate, diagnostic, per study dose, up to 25 millicuriesA9562 Technetium Tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuriesA9566 Technetium Tc-99m fanolesomab, diagnostic, per study dose, up to 25 millicuries*A9568 Technetium Tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicuriesA9571 Indium In-111 labeled autologous platelets, diagnostic, per study doseA9572 Indium In-111 pentetreotide, diagnostic, per study dose, up to 6 millicuriesA9582 Iodine I-123 iobenguane, diagnostic, per study dose, up to 15 millicuriesA9500 Technetium Tc-99m sestamibi, diagnostic, per study doseA9502 Technetium Tc-99m tetrofosmin, diagnostic, per study doseA9505 Thallium Tl-201 thallous chloride, diagnostic, per millicurieA9507 Indium In-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuriesA9516 Iodine I-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuriesA9521 Technetium Tc-99m exametazime, diagnostic, per study dose, up to 25 millicuriesA9524 Iodine I-131 iodinated serum albumin, diagnostic, per 5 microcuriesA9528 Iodine I-131 sodium iodide capsule(s), diagnostic, per millicurieA9537 Technetium Tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuriesA9539 Technetium Tc-99m pentetate, diagnostic, per study dose, up to 25 millicuriesA9540 Technetium Tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuriesA9541 Technetium Tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuriesA9542 Indium In-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5 millicuries**A9547 Indium In-111 oxyquinoline, diagnostic, per 0.5 millicurieA9551 Technetium Tc-99m succimer, diagnostic, per study dose, up to 10 millicuriesA9557 Technetium Tc-99m bicisate, diagnostic, per study dose, up to 25 millicuriesA9558 Xenon Xe-133 gas, diagnostic, per 10 millicuriesA9561 Technetium Tc-99m oxidronate, diagnostic, per study dose, up to 30 millicuriesA9562 Technetium Tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuriesA9566 Technetium Tc-99m fanolesomab, diagnostic, per study dose, up to 25 millicuries*A9567 Technetium Tc-99m pentetate, diagnostic, aerosol, per study dose, up to 75 millicuriesA9571 Indium In-111 labeled autologous platelets, diagnostic, per study doseA9572 Indium In-111 pentetreotide, diagnostic, per study dose, up to 6 millicuriesA9582 Iodine I-123 iobenguane, diagnostic, per study dose, up to 15 millicuriesA9500 Technetium Tc-99m sestamibi, diagnostic, per study doseA9502 Technetium Tc-99m tetrofosmin, diagnostic, per study doseA9505 Thallium Tl-201 thallous chloride, diagnostic, per millicurieA9507 Indium In-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuriesA9524 Iodine I-131 iodinated serum albumin, diagnostic, per 5 microcuriesA9539 Technetium Tc-99m pentetate, diagnostic, per study dose, up to 25 millicuriesA9540 Technetium Tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuriesA9541 Technetium Tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuriesA9542 Indium In-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5 millicuries**A9551 Technetium Tc-99m succimer, diagnostic, per study dose, up to 10 millicuriesA9557 Technetium Tc-99m bicisate, diagnostic, per study dose, up to 25 millicuriesA9558 Xenon Xe-133 gas, diagnostic, per 10 millicuriesA9561 Technetium Tc-99m oxidronate, diagnostic, per study dose, up to 30 millicuriesA9566 Technetium Tc-99m fanolesomab, diagnostic, per study dose, up to 25 millicuries*A9567 Technetium Tc-99m pentetate, diagnostic, aerosol, per study dose, up to 75 millicuriesA9568 Technetium Tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicuriesA9572 Indium In-111 pentetreotide, diagnostic, per study dose, up to 6 millicuriesA9582 Iodine I-123 iobenguane, diagnostic, per study dose, up to 15 millicuriesA9500 Technetium Tc-99m sestamibi, diagnostic, per study doseA9502 Technetium Tc-99m tetrofosmin, diagnostic, per study doseA9504 Technetium Tc-99m apcitide, diagnostic, per study dose, up to 20 millicuries*A9505 Thallium Tl-201 thallous chloride, diagnostic, per millicurieA9507 Indium In-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuriesA9524 Iodine I-131 iodinated serum albumin, diagnostic, per 5 microcuriesA9531 Iodine I-131 sodium iodide, diagnostic, per microcurie (up to 100 microcuries)A9540 Technetium Tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuriesA9541 Technetium Tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuriesA9542 Indium In-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5 millicuries**A9555 Rubidium Rb-82, diagnostic, per study dose, up to 60 millicuriesA9556 Gallium Ga-67 citrate, diagnostic, per millicurieA9557 Technetium Tc-99m bicisate, diagnostic, per study dose, up to 25 millicuriesA9564 Chromic phosphate P-32 suspension, therapeutic, per millicurieA9566 Technetium Tc-99m fanolesomab, diagnostic, per study dose, up to 25 millicuries*A9572 Indium In-111 pentetreotide, diagnostic, per study dose, up to 6 millicuriesA9582 Iodine I-123 iobenguane, diagnostic, per study dose, up to 15 millicuriesA9600 Strontium Sr-89 chloride, therapeutic, per millicurieA9604 Samarium Sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuriesA4642 Indium In-111 satumomab pendetide, diagnostic, per study dose, up to 6 millicuriesA9500 Technetium Tc-99m sestamibi, diagnostic, per study doseA9502 Technetium Tc-99m tetrofosmin, diagnostic, per study doseA9503 Technetium Tc-99m medronate, diagnostic, per study dose, up to 30 millicuriesA9505 Thallium Tl-201 thallous chloride, diagnostic, per millicurieA9507 Indium In-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuriesA9508 Iodine I-131 iobenguane sulfate, diagnostic, per 0.5 millicurieA9512 Technetium Tc-99m pertechnetate, diagnostic, per millicurieA9516 Iodine I-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries

78802

Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, single day imaging

78803

Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis), single day imaging

78800

Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg, head, neck, chest, pelvis), single day imaging

78801

Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, 2 or more areas (eg, abdomen and pelvis, head and chest), 1 or more days imaging or single area imaging over 2 or more days

4

A9517 Iodine I-131 sodium iodide capsule(s), therapeutic, per millicurieA9521 Technetium Tc-99m exametazime, diagnostic, per study dose, up to 25 millicuriesA9524 Iodine I-131 iodinated serum albumin, diagnostic, per 5 microcuriesA9528 Iodine I-131 sodium iodide capsule(s), diagnostic, per millicurieA9529 Iodine I-131 sodium iodide solution, diagnostic, per millicurieA9530 Iodine I-131 sodium iodide solution, therapeutic, per millicurieA9537 Technetium Tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuriesA9539 Technetium Tc-99m pentetate, diagnostic, per study dose, up to 25 millicuriesA9540 Technetium Tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuriesA9541 Technetium Tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuriesA9542 Indium In-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5 millicuries**A9543 Yttrium Y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up to 40 millicuriesA9547 Indium In-111 oxyquinoline, diagnostic, per 0.5 millicurieA9548 Indium In-111 pentetate, diagnostic, per 0.5 millicurieA9551 Technetium Tc-99m succimer, diagnostic, per study dose, up to 10 millicuriesA9552 Fluorodeoxyglucose F-18 FDG, diagnostic, per study dose, up to 45 millicuriesA9557 Technetium Tc-99m bicisate, diagnostic, per study dose, up to 25 millicuriesA9558 Xenon Xe-133 gas, diagnostic, per 10 millicuriesA9560 Technetium Tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuriesA9561 Technetium Tc-99m oxidronate, diagnostic, per study dose, up to 30 millicuriesA9562 Technetium Tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuriesA9564 Chromic phosphate P-32 suspension, therapeutic, per millicurieA9566 Technetium Tc-99m fanolesomab, diagnostic, per study dose, up to 25 millicuries*A9567 Technetium Tc-99m pentetate, diagnostic, aerosol, per study dose, up to 75 millicuriesA9568 Technetium Tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicuriesA9569 Technetium Tc-99m exametazime labeled autologous white blood cells, diagnostic, per study doseA9570 Indium In-111 labeled autologous white blood cells, diagnostic, per study doseA9571 Indium In-111 labeled autologous platelets, diagnostic, per study doseA9572 Indium In-111 pentetreotide, diagnostic, per study dose, up to 6 millicuriesA9582 Iodine I-123 iobenguane, diagnostic, per study dose, up to 15 millicuriesA9584 Iodine I-123 ioflupane, diagnostic, per study dose, up to 5 millicuriesA4642 Indium In-111 satumomab pendetide, diagnostic, per study dose, up to 6 millicuriesA9500 Technetium Tc-99m sestamibi, diagnostic, per study doseA9502 Technetium Tc-99m tetrofosmin, diagnostic, per study doseA9503 Technetium Tc-99m medronate, diagnostic, per study dose, up to 30 millicuriesA9505 Thallium Tl-201 thallous chloride, diagnostic, per millicurieA9507 Indium In-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuriesA9508 Iodine I-131 iobenguane sulfate, diagnostic, per 0.5 millicurieA9512 Technetium Tc-99m pertechnetate, diagnostic, per millicurieA9516 Iodine I-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuriesA9517 Iodine I-131 sodium iodide capsule(s), therapeutic, per millicurieA9521 Technetium Tc-99m exametazime, diagnostic, per study dose, up to 25 millicuriesA9524 Iodine I-131 iodinated serum albumin, diagnostic, per 5 microcuriesA9528 Iodine I-131 sodium iodide capsule(s), diagnostic, per millicurieA9529 Iodine I-131 sodium iodide solution, diagnostic, per millicurieA9530 Iodine I-131 sodium iodide solution, therapeutic, per millicurieA9537 Technetium Tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuriesA9539 Technetium Tc-99m pentetate, diagnostic, per study dose, up to 25 millicuriesA9540 Technetium Tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuriesA9541 Technetium Tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuriesA9542 Indium In-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5 millicuries**A9543 Yttrium Y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up to 40 millicuriesA9547 Indium In-111 oxyquinoline, diagnostic, per 0.5 millicurieA9548 Indium In-111 pentetate, diagnostic, per 0.5 millicurieA9551 Technetium Tc-99m succimer, diagnostic, per study dose, up to 10 millicuriesA9552 Fluorodeoxyglucose F-18 FDG, diagnostic, per study dose, up to 45 millicuriesA9557 Technetium Tc-99m bicisate, diagnostic, per study dose, up to 25 millicuriesA9558 Xenon Xe-133 gas, diagnostic, per 10 millicuriesA9560 Technetium Tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuriesA9561 Technetium Tc-99m oxidronate, diagnostic, per study dose, up to 30 millicuriesA9562 Technetium Tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuriesA9564 Chromic phosphate P-32 suspension, therapeutic, per millicurieA9566 Technetium Tc-99m fanolesomab, diagnostic, per study dose, up to 25 millicuries*A9567 Technetium Tc-99m pentetate, diagnostic, aerosol, per study dose, up to 75 millicuriesA9568 Technetium Tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicuriesA9569 Technetium Tc-99m exametazime labeled autologous white blood cells, diagnostic, per study doseA9570 Indium In-111 labeled autologous white blood cells, diagnostic, per study doseA9571 Indium In-111 labeled autologous platelets, diagnostic, per study doseA9572 Indium In-111 pentetreotide, diagnostic, per study dose, up to 6 millicuriesA9582 Iodine I-123 iobenguane, diagnostic, per study dose, up to 15 millicuriesA9584 Iodine I-123 ioflupane, diagnostic, per study dose, up to 5 millicuriesA4642 Indium In-111 satumomab pendetide, diagnostic, per study dose, up to 6 millicuriesA9500 Technetium Tc-99m sestamibi, diagnostic, per study doseA9502 Technetium Tc-99m tetrofosmin, diagnostic, per study doseA9503 Technetium Tc-99m medronate, diagnostic, per study dose, up to 30 millicuriesA9505 Thallium Tl-201 thallous chloride, diagnostic, per millicurieA9507 Indium In-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuriesA9508 Iodine I-131 iobenguane sulfate, diagnostic, per 0.5 millicurieA9512 Technetium Tc-99m pertechnetate, diagnostic, per millicurieA9516 Iodine I-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuriesA9517 Iodine I-131 sodium iodide capsule(s), therapeutic, per millicurieA9521 Technetium Tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries

78831

Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), minimum 2 areas (eg, pelvis and knees, abdomen and pelvis), single day imaging, or single area imaging over 2 or more days

78830

Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, single area (eg, head, neck, chest, pelvis), single day imaging

5

A9524 Iodine I-131 iodinated serum albumin, diagnostic, per 5 microcuriesA9528 Iodine I-131 sodium iodide capsule(s), diagnostic, per millicurieA9529 Iodine I-131 sodium iodide solution, diagnostic, per millicurieA9530 Iodine I-131 sodium iodide solution, therapeutic, per millicurieA9537 Technetium Tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuriesA9539 Technetium Tc-99m pentetate, diagnostic, per study dose, up to 25 millicuriesA9540 Technetium Tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuriesA9541 Technetium Tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuriesA9542 Indium In-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5 millicuries**A9543 Yttrium Y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up to 40 millicuriesA9547 Indium In-111 oxyquinoline, diagnostic, per 0.5 millicurieA9548 Indium In-111 pentetate, diagnostic, per 0.5 millicurieA9551 Technetium Tc-99m succimer, diagnostic, per study dose, up to 10 millicuriesA9552 Fluorodeoxyglucose F-18 FDG, diagnostic, per study dose, up to 45 millicuriesA9557 Technetium Tc-99m bicisate, diagnostic, per study dose, up to 25 millicuriesA9558 Xenon Xe-133 gas, diagnostic, per 10 millicuriesA9560 Technetium Tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuriesA9561 Technetium Tc-99m oxidronate, diagnostic, per study dose, up to 30 millicuriesA9562 Technetium Tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuriesA9564 Chromic phosphate P-32 suspension, therapeutic, per millicurieA9566 Technetium Tc-99m fanolesomab, diagnostic, per study dose, up to 25 millicuries*A9567 Technetium Tc-99m pentetate, diagnostic, aerosol, per study dose, up to 75 millicuriesA9568 Technetium Tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicuriesA9569 Technetium Tc-99m exametazime labeled autologous white blood cells, diagnostic, per study doseA9570 Indium In-111 labeled autologous white blood cells, diagnostic, per study doseA9571 Indium In-111 labeled autologous platelets, diagnostic, per study doseA9572 Indium In-111 pentetreotide, diagnostic, per study dose, up to 6 millicuriesA9582 Iodine I-123 iobenguane, diagnostic, per study dose, up to 15 millicuriesA9584 Iodine I-123 ioflupane, diagnostic, per study dose, up to 5 millicuries

78832

Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, minimum 2 areas (eg, pelvis and knees, abdomen and pelvis), single day imaging, or single area imaging over 2 or more days

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