HCPCS Codes for Diagnostic radiology


  • A9569

    Technetium tc-99m exametazime labeled autologous white blood cells, diagnostic, per study dose
  • 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
  • A9573

    Injection, gadopiclenol, 1 ml
  • 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 specified (nos), per ml
  • A9580

    Sodium fluoride f-18, diagnostic, per study dose, up to 30 millicuries
  • 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
  • A9587

    Gallium ga-68, dotatate, diagnostic, 0.1 millicurie
  • A9588

    Fluciclovine f-18, diagnostic, 1 millicurie
  • A9589

    Instillation, hexaminolevulinate hydrochloride, 100 mg
  • A9590

    Iodine i-131, iobenguane, 1 millicurie
  • A9591

    Fluoroestradiol f 18, diagnostic, 1 millicurie
  • A9592

    Copper cu-64, dotatate, diagnostic, 1 millicurie
  • A9593

    Gallium ga-68 psma-11, diagnostic, (ucsf), 1 millicurie
  • A9594

    Gallium ga-68 psma-11, diagnostic, (ucla), 1 millicurie
  • A9595

    Piflufolastat f-18, diagnostic, 1 millicurie
  • A9596

    Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie
  • A9597

    Positron emission tomography radiopharmaceutical, diagnostic, for tumor identification, not otherwise classified
  • A9598

    Positron emission tomography radiopharmaceutical, diagnostic, for non-tumor identification, not otherwise classified
  • A9599

    Radiopharmaceutical, diagnostic, for beta-amyloid positron emission tomography (pet) imaging, per study dose, not otherwise specified
  • A9601

    Flortaucipir f 18 injection, diagnostic, 1 millicurie
  • A9602

    Fluorodopa f-18, diagnostic, per millicurie
  • A9603

    Injection, pafolacianine, 0.1 mg
  • A9606

    Radium ra-223 dichloride, therapeutic, per microcurie
  • A9608

    Flotufolastat f 18, diagnostic, 1 millicurie
  • A9697

    Injection, carboxydextran-coated superparamagnetic iron oxide, per study dose
  • A9698

    Non-radioactive contrast imaging material, not otherwise classified, per study
  • A9800

    Gallium ga-68 gozetotide, diagnostic, (locametz), 1 millicurie
  • C2637

    Brachytherapy source, non-stranded, ytterbium-169, per source
  • C2639

    Brachytherapy source, non-stranded, iodine-125, per source
  • C2640

    Brachytherapy source, stranded, palladium-103, per source
  • C2641

    Brachytherapy source, non-stranded, palladium-103, per source
  • C2642

    Brachytherapy source, stranded, cesium-131, per source
  • C2643

    Brachytherapy source, non-stranded, cesium-131, per source
  • C2698

    Brachytherapy source, stranded, not otherwise specified, per source
  • C2699

    Brachytherapy source, non-stranded, not otherwise specified, per source
  • C8900

    Magnetic resonance angiography with contrast, abdomen
  • C8901

    Magnetic resonance angiography without contrast, abdomen
  • C8902

    Magnetic resonance angiography without contrast followed by with contrast, abdomen
  • C8903

    Magnetic resonance imaging with contrast, breast; unilateral
  • C8904

    Magnetic resonance imaging without contrast, breast; unilateral