2006 proposed fee schedule - American Society of Clinical Oncology
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2006 proposed fee schedule - American Society of Clinical Oncology

2006 proposed fee schedule - American Society of Clinical Oncology 2006 proposed fee schedule - American Society of Clinical Oncology

asco.org
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CPT/HCPCS Codes MOD DESCRIPTION STATUS CODE 79403 26 Hematopoietic nuclear tx A 79440 Nuclear rx, intra-articular A 79440 TC Nuclear rx, intra-articular A 79440 26 Nuclear rx, intra-articular A 79445 Nuclear rx, intra-arterial A 79445 TC Nuclear rx, intra-arterial A 79445 26 Nuclear rx, intra-arterial A 79999 Nuclear medicine therapy C 79999 TC Nuclear medicine therapy C 79999 26 Nuclear medicine therapy C A4641 Diagnostic imaging agent A4642 Satumomab pendetide per dose A9500 Technetium TC 99m sestamibi A9502 Technetium TC99M tetrofosmin A9503 Technetium TC 99m medronate A9504 Technetium tc 99m apcitide A9505 Thallous chloride TL 201/mci A9507 Indium/111 capromab pendetid A9508 Iobenguane sulfate I-131 A9510 Technetium TC99m Disofenin A9511 Technetium TC 99m depreotide A9512 Technetiumtc99mpertechnetate A9513 Technetium tc-99m mebrofenin A9514 Technetiumtc99mpyrophosphate A9515 Technetium tc-99m pentetate A9516 I-123 sodium iodide capsule A9517 Th I131 so iodide cap millic A9519 Technetiumtc-99mmacroag albu A9520 Technetiumtc-99m sulfur clld A9521 Technetiumtc-99m exametazine A9522 Indium111ibritumomabtiuxetan A9523 Yttrium90ibritumomabtiuxetan A9524 Iodinated I-131 serumalbumin A9526 Ammonia N-13, per dose A9527 I-131 tositumomab therapeut A9528 Dx I131 so iodide cap millic A9529 Dx I131 so iodide sol millic A9530 Th I131 so iodide sol millic A9531 Dx I131 so iodide microcurie A9532 I-125 serum albumin micro A9533 I-131 tositumomab diagnostic A9534 I-131 tositumomab therapeut A9600 Strontium-89 chloride A9603 I-131sodiumiodidecap per mci A9605 Samarium sm153 lexidronamm A9699 Noc therapeutic radiopharm 786

CPT/HCPCS Codes MOD DESCRIPTION STATUS CODE C1079 CO 57/58 per 0.5 uCi C1080 I-131 tositumomab, dx C1081 I-131 tositumomab, tx C1082 In-111 ibritumomab tiuxetan C1083 Yttrium 90 ibritumomab tiuxe C1091 IN111 oxyquinoline,per0.5mCi C1092 IN 111 pentetate per 0.5 mCi C1093 TC99M fanolesomab C1122 Tc 99M ARCITUMOMAB PER VIAL C1200 TC 99M Sodium Glucoheptonat C1201 TC 99M SUCCIMER, PER Vial C1775 FDG, per dose (4-40 mCi/ml) C9102 51 Na Chromate, 50mCi C9103 Na Iothalamate I-125, 10 uCi C9400 Thallous chloride, brand C9401 Strontium-89 chloride,brand C9402 Th I131 so iodide cap, brand C9403 Dx I131 so iodide cap, brand C9404 Dx I131 so iodide sol, brand C9405 Th I131 so iodide sol, brand Q3000 Rubidium RB-82 Q3002 Gallium ga 67 Q3003 Technetium tc99m bicisate Q3004 Xenon xe 133 Q3005 Technetium tc99m mertiatide Q3006 Technetium tc99m glucepatate Q3007 Sodium phosphate p32 Q3008 Indium 111-in pentetreotide Q3009 Technetium tc99m oxidronate Q3010 Technetium tc99mlabeledrbcs Q3011 Chromic phosphate p32 787

CPT/HCPCS<br />

Codes<br />

MOD DESCRIPTION<br />

STATUS<br />

CODE<br />

C1079 CO 57/58 per 0.5 uCi<br />

C1080 I-131 tositumomab, dx<br />

C1081 I-131 tositumomab, tx<br />

C1082 In-111 ibritumomab tiuxetan<br />

C1083 Yttrium 90 ibritumomab tiuxe<br />

C1091 IN111 oxyquinoline,per0.5mCi<br />

C1092 IN 111 pentetate per 0.5 mCi<br />

C1093 TC99M fanolesomab<br />

C1122 Tc 99M ARCITUMOMAB PER VIAL<br />

C1200 TC 99M Sodium Glucoheptonat<br />

C1201 TC 99M SUCCIMER, PER Vial<br />

C1775 FDG, per dose (4-40 mCi/ml)<br />

C9102 51 Na Chromate, 50mCi<br />

C9103 Na Iothalamate I-125, 10 uCi<br />

C9400 Thallous chloride, brand<br />

C9401 Strontium-89 chloride,brand<br />

C9402 Th I131 so iodide cap, brand<br />

C9403 Dx I131 so iodide cap, brand<br />

C9404 Dx I131 so iodide sol, brand<br />

C9405 Th I131 so iodide sol, brand<br />

Q3000 Rubidium RB-82<br />

Q3002 Gallium ga 67<br />

Q3003 Technetium tc99m bicisate<br />

Q3004 Xenon xe 133<br />

Q3005 Technetium tc99m mertiatide<br />

Q3006 Technetium tc99m glucepatate<br />

Q3007 Sodium phosphate p32<br />

Q3008 Indium 111-in pentetreotide<br />

Q3009 Technetium tc99m oxidronate<br />

Q3010 Technetium tc99mlabeledrbcs<br />

Q3011 Chromic phosphate p32<br />

787

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