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A9567 Technetium tc-99m pentetate, diagnostic, aerosol, per study dose, up to 75 millicuries
BackA9150Non-prescription drugs→A9152Single vitamin/mineral/trace element, oral, per dose, not otherwise specified→A9153Multiple vitamins, with or without minerals and trace elements, oral, per dose, not otherwise specified→A9154Artificial saliva, 1 ml→A9156Oral mucoadhesive, any type (liquid, gel, paste, etc.), per 1 ml→A9180Pediculosis (lice infestation) treatment, topical, for administration by patient/caretaker→A9268Programmer for transient, orally ingested capsule→A9269Programable, transient, orally ingested capsule, for use with external programmer, per month→A9270Non-covered item or service→A9272Wound suction, disposable, includes dressing, all accessories and components, any type, each→A9273Cold or hot fluid bottle, ice cap or collar, heat and/or cold wrap, any type→A9274External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories→A9275Home glucose disposable monitor, includes test strips→A9276Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply→A9277Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system→A9278Receiver (monitor); external, for use with non-durable medical equipment interstitial continuous glucose monitoring system→A9279Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified→A9280Alert or alarm device, not otherwise classified→A9281Reaching/grabbing device, any type, any length, each→A9282Wig, any type, each→A9283Foot pressure off loading/supportive device, any type, each→A9284Spirometer, non-electronic, includes all accessories→A9285Inversion/eversion correction device→A9286Hygienic item or device, disposable or non-disposable, any type, each→A9291Prescription digital cognitive and/or behavioral therapy, fda cleared, per course of treatment→A9292Prescription digital visual therapy, software-only, fda cleared, per course of treatment→A9293Fertility cycle (contraception & conception) tracking software application, fda cleared, per month, includes accessories (e.g., thermometer)→A9294Prescription digital cognitive and/or behavioral therapy, biofeedback, fda cleared, per course of treatment→A9300Exercise equipment→A9500Technetium tc-99m sestamibi, diagnostic, per study dose→A9501Technetium tc-99m teboroxime, diagnostic, per study dose→A9502Technetium tc-99m tetrofosmin, diagnostic, per study dose→A9503Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries→A9504Technetium tc-99m apcitide, diagnostic, per study dose, up to 20 millicuries→A9505Thallium tl-201 thallous chloride, diagnostic, per millicurie→A9506Graphite crucible for preparation of technetium tc 99m-labeled carbon aerosol, one crucible→A9507Indium in-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuries→A9508Iodine i-131 iobenguane sulfate, diagnostic, per 0.5 millicurie→A9509Iodine i-123 sodium iodide, diagnostic, per millicurie→A9510Technetium tc-99m disofenin, diagnostic, per study dose, up to 15 millicuries→A9512Technetium tc-99m pertechnetate, diagnostic, per millicurie→A9513Lutetium lu 177, dotatate, therapeutic, 1 millicurie→A9515Choline c-11, diagnostic, per study dose up to 20 millicuries→A9516Iodine i-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries→A9517Iodine i-131 sodium iodide capsule(s), therapeutic, per millicurie→A9520Technetium tc-99m tilmanocept, diagnostic, up to 0.5 millicuries→A9521Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries→A9524Iodine i-131 iodinated serum albumin, diagnostic, per 5 microcuries→A9526Nitrogen n-13 ammonia, diagnostic, per study dose, up to 40 millicuries→A9527Iodine i-125, sodium iodide solution, therapeutic, per millicurie→A9528Iodine i-131 sodium iodide capsule(s), diagnostic, per millicurie→A9529Iodine i-131 sodium iodide solution, diagnostic, per millicurie→A9530Iodine i-131 sodium iodide solution, therapeutic, per millicurie→A9531Iodine i-131 sodium iodide, diagnostic, per microcurie (up to 100 microcuries)→A9532Iodine i-125 serum albumin, diagnostic, per 5 microcuries→A9536Technetium tc-99m depreotide, diagnostic, per study dose, up to 35 millicuries→A9537Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries→A9538Technetium tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries→A9539Technetium tc-99m pentetate, diagnostic, per study dose, up to 25 millicuries→A9540Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries→A9541Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries→A9542Indium in-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5 millicuries→A9543Yttrium y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up to 40 millicuries→A9546Cobalt co-57/58, cyanocobalamin, diagnostic, per study dose, up to 1 microcurie→A9547Indium in-111 oxyquinoline, diagnostic, per 0.5 millicurie→A9548Indium in-111 pentetate, diagnostic, per 0.5 millicurie→A9550Technetium tc-99m sodium gluceptate, diagnostic, per study dose, up to 25 millicurie→A9551Technetium tc-99m succimer, diagnostic, per study dose, up to 10 millicuries→A9552Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries→A9553Chromium cr-51 sodium chromate, diagnostic, per study dose, up to 250 microcuries→A9554Iodine i-125 sodium iothalamate, diagnostic, per study dose, up to 10 microcuries→A9555Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries→A9556Gallium ga-67 citrate, diagnostic, per millicurie→A9557Technetium tc-99m bicisate, diagnostic, per study dose, up to 25 millicuries→A9558Xenon xe-133 gas, diagnostic, per 10 millicuries→A9559Cobalt co-57 cyanocobalamin, oral, diagnostic, per study dose, up to 1 microcurie→A9560Technetium tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries→A9561Technetium tc-99m oxidronate, diagnostic, per study dose, up to 30 millicuries→A9562Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries→A9563Sodium phosphate p-32, therapeutic, per millicurie→A9564Chromic phosphate p-32 suspension, therapeutic, per millicurie→A9566Technetium tc-99m fanolesomab, diagnostic, per study dose, up to 25 millicuries→A9567Technetium tc-99m pentetate, diagnostic, aerosol, per study dose, up to 75 millicuries→A9568Technetium tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicuries→A9569Technetium tc-99m exametazime labeled autologous white blood cells, diagnostic, per study dose→A9570Indium in-111 labeled autologous white blood cells, diagnostic, per study dose→A9571Indium in-111 labeled autologous platelets, diagnostic, per study dose→A9572Indium in-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries→A9573Injection, gadopiclenol, 1 ml→A9574Injection, ferumoxytol, 1 mg→A9575Injection, gadoterate meglumine, 0.1 ml→A9576Injection, gadoteridol, (prohance multipack), per ml→A9577Injection, gadobenate dimeglumine (multihance), per ml→A9578Injection, gadobenate dimeglumine (multihance multipack), per ml→A9579Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml→A9580Sodium fluoride f-18, diagnostic, per study dose, up to 30 millicuries→A9581Injection, gadoxetate disodium, 1 ml→A9582Iodine i-123 iobenguane, diagnostic, per study dose, up to 15 millicuries→A9583Injection, gadofosveset trisodium, 1 ml→A9584Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries→A9585Injection, gadobutrol, 0.1 ml→A9586Florbetapir f18, diagnostic, per study dose, up to 10 millicuries→A9587Gallium ga-68, dotatate, diagnostic, 0.1 millicurie→A9588Fluciclovine f-18, diagnostic, 1 millicurie→A9589Instillation, hexaminolevulinate hydrochloride, 100 mg→A9590Iodine i-131, iobenguane, 1 millicurie→A9591Fluoroestradiol f 18, diagnostic, 1 millicurie→A9592Copper cu-64, dotatate, diagnostic, 1 millicurie→A9593Gallium ga-68 psma-11, diagnostic, (ucsf), 1 millicurie→A9594Gallium ga-68 psma-11, diagnostic, (ucla), 1 millicurie→A9595Piflufolastat f 18 (pylarify), diagnostic, 1 millicurie→A9596Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie→A9597Positron emission tomography radiopharmaceutical, diagnostic, for tumor identification, not otherwise classified→A9598Positron emission tomography radiopharmaceutical, diagnostic, for non-tumor identification, not otherwise classified→A9600Strontium sr-89 chloride, therapeutic, per millicurie→A9601Flortaucipir f 18 injection, diagnostic, 1 millicurie→A9602Fluorodopa f-18, diagnostic, per millicurie→A9603Injection, pafolacianine, 0.1 mg→A9604Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries→A9606Radium ra-223 dichloride, therapeutic, per microcurie→A9607Lutetium lu 177 vipivotide tetraxetan, therapeutic, 1 millicurie→A9608Flotufolastat f 18, diagnostic, 1 millicurie→A9609Fludeoxyglucose f18 up to 15 millicuries→A9610Xenon xe-129 hyperpolarized gas, diagnostic, per study dose→A9611Flurpiridaz f 18, diagnostic, 1 millicurie→A9612Injection, fluorescein, 1 mg→A9613Piflufolastat f 18 (pylarify truvu), diagnostic, 1 millicurie→A9615Injection, pegulicianine, 1 mg→A9616Gallium ga-68 gozetotide (gozellix), diagnostic, 1 millicurie→A9697Injection, carboxydextran-coated superparamagnetic iron oxide, per study dose→A9698Non-radioactive contrast imaging material, not otherwise classified, per study→A9699Radiopharmaceutical, therapeutic, not otherwise classified→A9700Supply of injectable contrast material for use in echocardiography, per study→A9800Gallium ga-68 gozetotide, diagnostic, (locametz), 1 millicurie→A9900Miscellaneous dme supply, accessory, and/or service component of another hcpcs code→A9901Dme delivery, set up, and/or dispensing service component of another hcpcs code→A9999Miscellaneous dme supply or accessory, not otherwise specified→
Procedure codeCODABLE
A9567
Technetium tc-99m pentetate, diagnostic, aerosol, per study dose, up to 75 millicuries
- Part
- HCPCS Level II
- A
- Transportation Services Including Ambulance, Medical and Surgical Supplies, Administrative, Miscellaneous and Investigational
- A9
- A9150–A9999
Source
CMS — ICD-10-PCS FY2026, HCPCS Level II october 2026, Procedure Codes 2026.