A9554 – Iodine i-125 sodium iothalamate, diagnostic, per study dose, up to 10 microcuries

Long description

Iodine i-125 sodium iothalamate, diagnostic, per study dose, up to 10 microcuries

Short description

I125 iothalamate, dx

Pricing indicator

53 Statute

Medicare coverage

C Carrier judgment – coverage decided by the Medicare contractor

BETOS category

I1E Standard imaging - nuclear medicine

ASC

Approved for ambulatory surgical centers

Added

January 1, 2006

Last change

January 1, 2026 – No change

Nearby A codes

• A9545 – Iodine i-131 tositumomab, therapeutic, per treatment 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
• 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