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A9501
Technetium tc-99m teboroxime, diagnostic, per study dose
HCPCS code
Medical Policies and Guidelines for Technetium tc-99m teboroxime, diagnostic, per study dose
Related policies from health plans
HUMANA
Cardiac Single-Photon Emission Computed Tomography - Medicare Advantage
Similar Codes
ICD10CM codes
T50.8X6
- Underdosing of diagnostic agents
T50.8X6A
- Underdosing of diagnostic agents, initial encounter
Z51.0
- Encounter for antineoplastic radiation therapy
Z51.11
- Encounter for antineoplastic chemotherapy
Z01.812
- Encounter for preprocedural laboratory examination
Z51.81
- Encounter for therapeutic drug level monitoring
Z92.850
- Personal history of Chimeric Antigen Receptor T-cell therapy
T50.8X5
- Adverse effect of diagnostic agents
Z51.1
- Encounter for antineoplastic chemotherapy and immunotherapy
T50.8X6D
- Underdosing of diagnostic agents, subsequent encounter
HCPCS codes
A9501
- Technetium tc-99m teboroxime, diagnostic, per study dose
A9502
- Technetium tc-99m tetrofosmin, diagnostic, per study dose
A9500
- Technetium tc-99m sestamibi, diagnostic, per study dose
A9503
- Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries
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
A9568
- Technetium tc-99m arcitumomab, diagnostic, per study dose, up to 45 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
CPT4 codes
79005
- Radiopharmaceutical therapy, by oral administration
78999
- Unlisted miscellaneous procedure, diagnostic nuclear medicine
71260
- Computed tomography, thorax, diagnostic; with contrast material(s)
76380
- Computed tomography, limited or localized follow-up study
78399
- Unlisted musculoskeletal procedure, diagnostic nuclear medicine
78299
- Unlisted gastrointestinal procedure, diagnostic nuclear medicine
79101
- Radiopharmaceutical therapy, by intravenous administration
71250
- Computed tomography, thorax, diagnostic; without contrast material
78599
- Unlisted respiratory procedure, diagnostic nuclear medicine
38792
- Injection procedure; radioactive tracer for identification of sentinel node