| A9150 | Misc/exper non-prescript dru |
| A9152 | Single vitamin nos |
| A9153 | Multi-vitamin nos |
| A9155 | Artificial saliva |
| A9180 | Lice treatment, topical |
| A9270 | Non-covered item or service |
| A9272 | Disp wound suct, drsg/access |
| A9273 | Hot/cold h2obot/cap/col/wrap |
| A9274 | Ext amb insulin delivery sys |
| A9275 | Disp home glucose monitor |
| A9276 | Disposable sensor, cgm sys |
| A9277 | External transmitter, cgm |
| A9278 | External receiver, cgm sys |
| A9279 | Monitoring feature/devicenoc |
| A9280 | Alert device, noc |
| A9281 | Reaching/grabbing device |
| A9282 | Wig any type |
| A9283 | Foot press off load supp dev |
| A9284 | Non-electronic spirometer |
| A9300 | Exercise equipment |
| A9500 | Tc99m sestamibi |
| A9501 | Technetium tc-99m teboroxime |
| A9502 | Tc99m tetrofosmin |
| A9503 | Tc99m medronate |
| A9504 | Tc99m apcitide |
| A9505 | Tl201 thallium |
| A9507 | In111 capromab |
| A9508 | I131 iodobenguate, dx |
| A9509 | Iodine i-123 sod iodide mil |
| A9510 | Tc99m disofenin |
| A9512 | Tc99m pertechnetate |
| A9516 | Iodine i-123 sod iodide mic |
| A9517 | I131 iodide cap, rx |
| A9520 | Tc99 tilmanocept diag 0.5mci |
| A9521 | Tc99m exametazime |
| A9524 | I131 serum albumin, dx |
| A9526 | Nitrogen n-13 ammonia |
| A9527 | Iodine i-125 sodium iodide |
| A9528 | Iodine i-131 iodide cap, dx |
| A9529 | I131 iodide sol, dx |
| A9530 | I131 iodide sol, rx |
| A9531 | I131 max 100uci |
| A9532 | I125 serum albumin, dx |
| A9536 | Tc99m depreotide |
| A9537 | Tc99m mebrofenin |
| A9538 | Tc99m pyrophosphate |
| A9539 | Tc99m pentetate |
| A9540 | Tc99m maa |
| A9541 | Tc99m sulfur colloid |
| A9542 | In111 ibritumomab, dx |
| A9543 | Y90 ibritumomab, rx |
| A9544 | I131 tositumomab, dx |
| A9545 | I131 tositumomab, rx |
| A9546 | Co57/58 |
| A9547 | In111 oxyquinoline |
| A9548 | In111 pentetate |
| A9550 | Tc99m gluceptate |
| A9551 | Tc99m succimer |
| A9552 | F18 fdg |
| A9553 | Cr51 chromate |
| A9554 | I125 iothalamate, dx |
| A9555 | Rb82 rubidium |
| A9556 | Ga67 gallium |
| A9557 | Tc99m bicisate |
| A9558 | Xe133 xenon 10mci |
| A9559 | Co57 cyano |
| A9560 | Tc99m labeled rbc |
| A9561 | Tc99m oxidronate |
| A9562 | Tc99m mertiatide |
| A9563 | P32 na phosphate |
| A9564 | P32 chromic phosphate |
| A9566 | Tc99m fanolesomab |
| A9567 | Technetium tc-99m aerosol |
| A9568 | Technetium tc99m arcitumomab |
| A9569 | Technetium tc-99m auto wbc |
| A9570 | Indium in-111 auto wbc |
| A9571 | Indium in-111 auto platelet |
| A9572 | Indium in-111 pentetreotide |
| A9575 | Inj gadoterate meglumi 0.1ml |
| A9576 | Inj prohance multipack |
| A9577 | Inj multihance |
| A9578 | Inj multihance multipack |
| A9579 | Gad-base mr contrast nos,1ml |
| A9580 | Sodium fluoride f-18 |
| A9581 | Gadoxetate disodium inj |
| A9582 | Iodine i-123 iobenguane |
| A9583 | Gadofosveset trisodium inj |
| A9584 | Iodine i-123 ioflupane |
| A9585 | Gadobutrol injection |
| A9586 | Florbetapir f18 |
| A9599 | Radiopha dx beta amyloid pet |
| A9600 | Sr89 strontium |
| A9604 | Sm 153 lexidronam |
| A9698 | Non-rad contrast materialnoc |
| A9699 | Radiopharm rx agent noc |
| A9700 | Echocardiography contrast |
| A9900 | Supply/accessory/service |
| A9901 | Delivery/set up/dispensing |
| A9999 | Dme supply or accessory, nos |
