HCPCS Codes for Diagnostic radiology


  • A4641

    Radiopharmaceutical, diagnostic, not otherwise classified
  • A4642

    Indium in-111 satumomab pendetide, diagnostic, per study dose, up to 6 millicuries
  • 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
  • A9508

    Iodine i-131 iobenguane sulfate, diagnostic, per 0.5 millicurie
  • 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
  • A9515

    Choline c-11, diagnostic, per study dose up to 20 millicuries
  • A9516

    Iodine i-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries
  • A9520

    Technetium tc-99m tilmanocept, diagnostic, up to 0.5 millicuries
  • A9521

    Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries
  • A9524

    Iodine i-131 iodinated serum albumin, diagnostic, per 5 microcuries
  • A9526

    Nitrogen n-13 ammonia, diagnostic, per study dose, up to 40 millicuries
  • A9527

    Iodine i-125, sodium iodide solution, therapeutic, per millicurie
  • A9528

    Iodine i-131 sodium iodide capsule(s), diagnostic, per millicurie
  • A9529

    Iodine i-131 sodium iodide solution, diagnostic, 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 millicuries
  • A9541

    Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries
  • A9542

    Indium in-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5 millicuries
  • A9544

    Iodine i-131 tositumomab, diagnostic, per study dose
  • 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
  • A9554

    Iodine i-125 sodium iothalamate, diagnostic, per study dose, up to 10 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 millicuries
  • 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
  • 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 millicuries
  • A9568

    Technetium tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicuries