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Radiopharmaceutical HCPCS codes no longer requiring a paper invoice (JN)

To reduce provider burden, certain contractor priced HCPCS codes no longer require a paper invoice.

When the invoice information is entered in the narrative field on a claim for any of the HCPCS codes listed below, it is not necessary to provide the actual paper invoice for these services. For details, view our article on the process for supplying invoice amount on certain HCPCS codes to avoid rejected claims.

Code Description Effective "from"
date of service		 Effective "through"
date of service
A4642 Indium In-111 satumomab pendetide, diagnostic, per study dose up to 6 millicuries 1/1/2024 Present
A9501 Technetium Tc-99m teboroxime, diagnostic, per study dose 1/1/2024 Present
A9503 Technetium Tc-99m medronate, diagnostic, per study dose, up to 30 mCi 1/1/2024 Present
A9504 Technetium Tc-99m apcitide, diagnostic, per study dose, up to 20 mCi 1/1/2024 Present
A9506 Graphite crucible for preparation of technetium tc 99m-labeled carbon aerosol, each 1/1/2025 Present
A9507 Indium In-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuries 1/1/2024 Present
A9508 Iodine I-131 iobenguane sulfate, diagnostic, per 0.5 mCi 1/1/2024 Present
A9509 Iodine I-123 sodium iodide, diagnostic, per mCi 1/1/2024 Present
A9510 Technetium Tc-99m disofenin, diagnostic, per study dose, up to 15 mCi 1/1/2024 Present
A9512 Technetium Tc-99m pertechnetate, diagnostic, per mCi 1/1/2024 Present
A9516 Iodine I-123 sodium iodide, diagnostic, per 100 mcCi, up to 999 mcCi 1/1/2024 Present
A9517 Iodine I-131 sodium iodide capsule(s), therapeutic, per mCi 1/1/2024 Present
A9526 Nitrogen N-13 ammonia, diagnostic, per study dose, up to 40 mCi 1/1/2024 Present
A9527 Iodine I-125, sodium iodide solution, therapeutic, per mCi 1/1/2024 Present
A9528 Iodine I-131 sodium iodide capsule(s), diagnostic, per mCi 1/1/2024 Present
A9529 Iodine I-131 sodium iodide solution, diagnostic, per mCi 1/1/2024 Present
A9530 Iodine I-131 sodium iodide solution, therapeutic, per mCi 1/1/2024 Present
A9531 Iodine I-131 sodium iodide, diagnostic, per mcCi (up to 100 mcCi) 1/1/2024 Present
A9532 Iodine I-125 serum albumin, diagnostic, per 5 mcCi 1/1/2024 Present
A9536 Technetium Tc-99m depreotide, diagnostic, per study dose, up to 35 mCi 1/1/2024 Present
A9538 Technetium Tc-99m pyrophosphate, diagnostic, per study dose, up to 25 mCi 1/1/2024 Present
A9539 Technetium Tc-99m pentetate, diagnostic, per study dose, up to 25 mCi 1/1/2024 Present
A9540 Technetium Tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 mCi 1/1/2024 Present
A9541 Technetium Tc-99m sulfur colloid, diagnostic, per study dose, up to 20 mCi 1/1/2024 Present
A9542 Indium In-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5 mCi 1/1/2024 Present
A9546 Cobalt Co-57/58, cyanocobalamin, diagnostic, per study dose, up to 1 mcCi 1/1/2024 Present
A9548 Indium In-111 pentetate, diagnostic, per 0.5 mCi 1/1/2025 Present
A9550 Technetium Tc-99m sodium gluceptate, diagnostic, per study dose, up to 25 mCi 1/1/2024 Present
A9551 Technetium Tc-99m sodium glucepate, diagnostic, per study dose, up to 10 mCi 1/1/2025 Present
A9552 Fluorodeoxyglucose F-18 FDG, diagnostic, per study dose, up to 45 mCi 1/1/2025 Present
A9553 Chromium Cr-51 sodium chromate, diagnostic, per study dose, up to 250 mcCi 1/1/2024 Present
A9557 Technetium Tc-99m bicisate, diagnostic, per study dose, up to 25 mCi 1/1/2024 Present
A9559 Cobalt Co-57 cyanocobalamin, oral, diagnostic, per study dose, up to 1 mcCi 1/1/2024 Present
A9560 Technetium Tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 mCi 1/1/2024 Present
A9561 Technetium Tc-99m oxidronate, diagnostic, per study dose, up to 30 mCi 1/1/2024 Present
A9562 Technetium Tc-99m mertiatide, diagnostic, per study dose, up to 15 mCi 1/1/2024 Present
A9563 Sodium phosphate P-32, therapeutic, per mCi 1/1/2024 Present
A9564 Chromic phosphate P-32 suspension, therapeutic, per mCi 1/1/2024 Present
A9566 Technetium Tc-99m fanolesomab, diagnostic, per study dose, up to 25 mCi 1/1/2024 Present
A9567 Technetium Tc-99m pentetate, diagnostic, aerosol, per study dose, up to 75 mCi 1/1/2024 Present
A9568 Technetium Tc-99m arcitumomab, diagnostic, per study dose, up to 45 mCi 1/1/2025 Present
A9569 Technetium Tc-99m exametazime labeled autologous white blood cells, diagnostic, per study dose 1/1/2024 Present
A9570 Indium In-111 labeled autologous white blood cells, diagnostic, per study dose 1/1/2024 Present
A9571 Indium In-111 labeled autologous platelets, diagnostic, per study dose 1/1/2024 Present
A9572 Indium In-111 pentetreotide, diagnostic, per study dose, up to 6 mCi 1/1/2024 Present
A9580 Sodium fluoride F-18, diagnostic, per study dose, up to 30 mCi 1/1/2024 Present
A9583 Injection, gadofosveset trisodium, 1 ml 1/1/2024 Present
A9586 Florbetapir F18, diagnostic, per study dose, up to 10 mCi 1/1/2024 12/31/2024
A9590 Iodine I-131, iobenguane, 1 mCi 1/1/2024 Present
A9597 Positron emission tomography radiopharmaceutical, diagnostic, for tumor identification, not otherwise classified 1/1/2024 Present
A9598 Positron emission tomography radiopharmaceutical, diagnostic, for nontumor identification, not otherwise classified 1/1/2024 Present
A9600 Strontium Sr-89 chloride, therapeutic, per mCi 1/1/2025 Present
A9601 Flortaucipir F 18 injection, diagnostic, 1 mCi 1/1/2024 12/31/2024
A9602 Fluorodopa f-18, diagnostic, per mCi 1/1/2024 Present
A9603 Injection, pafolacianine, 0.1 mg 1/1/2024 Present
A9609 Fludeoxyglucose f18 up to 15 millicuries 1/1/2024 Present
A9610 Xenon xe-129 hyperpolarized gas, diagnostic, per study dose 10/1/2024 Present
A9697 Injection, carboxydextran-coated superparamagnetic iron oxide, per study dose 1/1/2024 Present
A9698 Nonradioactive contrast imaging material, not otherwise classified, per study 1/1/2024 Present
A9700 Supply of injectable contrast material for use in echocardiography, per study 1/1/2024 Present