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Technetium tc-99m sestamibi, diagnostic, per study dose

HCPCS code

Medical Policies and Guidelines for Technetium tc-99m sestamibi, diagnostic, per study dose

Related policies from health plans

Cardiac Single-Photon Emission Computed Tomography - Medicare Advantage
Outpatient Advanced Imaging Authorization (PM)

Similar Codes


ICD10CM codes

T50.8X6 - Underdosing of diagnostic agents
Z01.812 - Encounter for preprocedural laboratory examination
T50.8X6S - Underdosing of diagnostic agents, sequela
T50.8X6A - Underdosing of diagnostic agents, initial encounter
W88.1XXA - Exposure to radioactive isotopes, initial encounter
W88.1XXS - Exposure to radioactive isotopes, sequela
Z51.0 - Encounter for antineoplastic radiation therapy
W88.1 - Exposure to radioactive isotopes
Z51.81 - Encounter for therapeutic drug level monitoring
T50.8X5 - Adverse effect of diagnostic agents

HCPCS codes

A9500 - Technetium tc-99m sestamibi, diagnostic, per study dose
A9502 - Technetium tc-99m tetrofosmin, diagnostic, per study dose
A9501 - Technetium tc-99m teboroxime, diagnostic, per study dose
A9521 - Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries
A9539 - Technetium tc-99m pentetate, diagnostic, per study dose, up to 25 millicuries
A9562 - Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries
A9557 - Technetium tc-99m bicisate, diagnostic, per study dose, up to 25 millicuries
A9510 - Technetium tc-99m disofenin, diagnostic, per study dose, up to 15 millicuries
A9503 - Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries
A9567 - Technetium tc-99m pentetate, diagnostic, aerosol, per study dose, up to 75 millicuries

CPT4 codes

79005 - Radiopharmaceutical therapy, by oral administration
78999 - Unlisted miscellaneous procedure, diagnostic nuclear medicine
38792 - Injection procedure; radioactive tracer for identification of sentinel node
76380 - Computed tomography, limited or localized follow-up study
77011 - Computed tomography guidance for stereotactic localization
71260 - Computed tomography, thorax, diagnostic; with contrast material(s)
76098 - Radiological examination, surgical specimen
78299 - Unlisted gastrointestinal procedure, diagnostic nuclear medicine
71250 - Computed tomography, thorax, diagnostic; without contrast material
78399 - Unlisted musculoskeletal procedure, diagnostic nuclear medicine