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HCPCS Procedure & Supply Codes

Administrative, Miscellaneous and Experimental

section notes
A9150   Non-prescription drugs
A9152   Single vitamin/mineral/trace element, oral, per dose, not otherwise specified
A9153   Multiple vitamins, with or without minerals and trace elements, oral, per dose, ...
A9155   Artificial saliva, 30 ml
A9180   Pediculosis (lice infestation) treatment, topical, for administration by patient...
A9270   Non-covered item or service
A9272   Wound suction, disposable, includes dressing, all accessories and components, an...
A9274   External ambulatory insulin delivery system, disposable, each, includes all supp...
A9275   Home glucose disposable monitor, includes test strips
A9276   Sensor; invasive (e.g., subcutaneous), disposable, for use with interstitial con...
A9277   Transmitter; external, for use with interstitial continuous glucose monitoring system
A9278   Receiver (monitor); external, for use with interstitial continuous glucose monit...
A9279   Monitoring feature/device, stand-alone or integrated, any type, includes all acc...
A9280   Alert or alarm device, not otherwise classified
A9281   Reaching/grabbing device, any type, any length, each
A9282   Wig, any type, each
A9283   Foot pressure off loading/supportive device, any type, each
A9284   Spirometer, non-electronic, includes all accessories
A9300   Exercise equipment
A9500   Technetium tc-99m sestamibi, diagnostic, per study dose
A9501   Technetium tc-99m teboroxime, diagnostic, per study dose
A9502   Technetium tc-99m tetrofosmin, diagnostic, per study dose
A9503   Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries
A9504   Technetium tc-99m apcitide, diagnostic, per study dose, up to 20 millicuries
A9505   Thallium tl-201 thallous chloride, diagnostic, per millicurie
A9507   Indium in-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuries
A9508A9595   Diagnostic Supplies
A9509   Iodine i-123 sodium iodide, diagnostic, per millicurie
A9510   Technetium tc-99m disofenin, diagnostic, per study dose, up to 15 millicuries
A9512   Technetium tc-99m pertechnetate, diagnostic, per millicurie
A9516   Iodine i-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries
A9517   Iodine i-131 sodium iodide capsule(s), therapeutic, per millicurie
A9520   Technetium tc-99m tilmanocept, diagnostic, up to 0.5 millicuries
A9521   Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries
A9526   Nitrogen n-13 ammonia, diagnostic, per study dose, up to 40 millicuries
A9527   Iodine i-125, sodium iodide solution, therapeutic, per millicurie
A9530   Iodine i-131 sodium iodide solution, therapeutic, per millicurie
A9531   Iodine i-131 sodium iodide, diagnostic, per microcurie (up to 100 microcuries)
A9536   Technetium tc-99m depreotide, diagnostic, per study dose, up to 35 millicuries
A9537   Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries
A9538   Technetium tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries
A9539   Technetium tc-99m pentetate, diagnostic, per study dose, up to 25 millicuries
A9540   Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 ...
A9541   Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries
A9543   Yttrium y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up to 40 mil...
A9546   Cobalt co-57/58, cyanocobalamin, diagnostic, per study dose, up to 1 microcurie
A9547   Indium in-111 oxyquinoline, diagnostic, per 0.5 millicurie
A9548   Indium in-111 pentetate, diagnostic, per 0.5 millicurie
A9550   Technetium tc-99m sodium gluceptate, diagnostic, per study dose, up to 25 millicurie
A9551   Technetium tc-99m succimer, diagnostic, per study dose, up to 10 millicuries
A9552   Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries
A9553   Chromium cr-51 sodium chromate, diagnostic, per study dose, up to 250 microcuries
A9555   Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries
A9556   Gallium ga-67 citrate, diagnostic, per millicurie
A9557   Technetium tc-99m bicisate, diagnostic, per study dose, up to 25 millicuries
A9558   Xenon xe-133 gas, diagnostic, per 10 millicuries
A9559   Cobalt co-57 cyanocobalamin, oral, diagnostic, per study dose, up to 1 microcurie
A9560   Technetium tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 ...
A9561   Technetium tc-99m oxidronate, diagnostic, per study dose, up to 30 millicuries
A9562   Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries
A9563   Sodium phosphate p-32, therapeutic, per millicurie
A9564   Chromic phosphate p-32 suspension, therapeutic, per millicurie
A9566   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 milli...
A9568   Technetium tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicuries
A9569   Technetium tc-99m exametazime labeled autologous white blood cells, diagnostic, ...
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
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 spe...
A9580   Sodium fluoride f-18, diagnostic, per study dose, up to 30 millicuries
A9581   Injection, gadoxetate disodium, 1 ml
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
A9592   Copper cu-64, dotatate, diagnostic, 1 millicurie
A9600   Strontium sr-89 chloride, therapeutic, per millicurie
A9604   Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries
A9606   Radium ra-223 dichloride, therapeutic, per microcurie
A9698   Non-radioactive contrast imaging material, not otherwise classified, per study
A9699   Radiopharmaceutical, therapeutic, not otherwise classified
A9700   Supply of injectable contrast material for use in echocardiography, per study
A9900   Miscellaneous dme supply, accessory, and/or service component of another hcpcs code
A9901   Dme delivery, set up, and/or dispensing service component of another hcpcs code
A9999   Miscellaneous dme supply or accessory, not otherwise specified
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