A9516 – Iodine i-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries

Long description

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

Short description

Iodine i-123 sod iodide mic

Pricing indicator

57 Other carrier priced

Medicare coverage

C Carrier judgment – coverage decided by the Medicare contractor

BETOS category

I1E Standard imaging - nuclear medicine

Added

January 1, 2003

Last change

January 1, 2008 – No change

Nearby A codes

• A9506 – Graphite crucible for preparation of technetium tc 99m-labeled carbon aerosol, one crucible
• 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
• A9513 – Lutetium lu 177, dotatate, therapeutic, 1 millicurie
• A9515 – Choline c-11, diagnostic, per study dose up to 20 millicuries
• 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
• 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