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

HCPCS code

Medical Policies and Guidelines for Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries

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ICD10CM codes

E01 - Iodine-deficiency related thyroid disorders and allied conditions
E01.0 - Iodine-deficiency related diffuse (endemic) goiter
E01.1 - Iodine-deficiency related multinodular (endemic) goiter
E02 - Subclinical iodine-deficiency hypothyroidism
E01.8 - Other iodine-deficiency related thyroid disorders and allied conditions
E00 - Congenital iodine-deficiency syndrome
E01.2 - Iodine-deficiency related (endemic) goiter, unspecified
Z01.812 - Encounter for preprocedural laboratory examination
E00.9 - Congenital iodine-deficiency syndrome, unspecified
T38.2X4 - Poisoning by antithyroid drugs, undetermined

HCPCS codes

A9584 - Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries
A9582 - Iodine i-123 iobenguane, diagnostic, per study dose, up to 15 millicuries
A9509 - Iodine i-123 sodium iodide, diagnostic, per millicurie
A9516 - Iodine i-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries
A9531 - Iodine i-131 sodium iodide, diagnostic, per microcurie (up to 100 microcuries)
A9529 - Iodine i-131 sodium iodide solution, diagnostic, per millicurie
A9528 - Iodine i-131 sodium iodide capsule(s), diagnostic, per millicurie
A9572 - Indium in-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries
A9530 - Iodine i-131 sodium iodide solution, therapeutic, per millicurie
A9517 - Iodine i-131 sodium iodide capsule(s), therapeutic, per millicurie

CPT4 codes

96365 - Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, u
78012 - Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression,
82436 - Chloride; urine
96413 - Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substan
82438 - Chloride; other source
76000 - Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional
78013 - Thyroid imaging (including vascular flow, when performed)
84445 - Thyroid stimulating immune globulins (TSI)
96405 - Chemotherapy administration; intralesional, up to and including 7 lesions
82397 - Chemiluminescent assay