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Appendix D: List of Radiopharmaceuticals and Associated Codes Used in the Committee's Medicare Data and Nuclear Pharmacy Data Analyses
Pages 237-240

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From page 237...
... Appendix D List of Radiopharmaceuticals and Associated Codes Used in the Committee's Medicare Data and Nuclear Pharmacy Data Analyses 237
From page 238...
... A9503 X       X Tc-99m Oxidronate (TechneScan, HDP) A9561 X       X Pyrophosphate A9538 X       X Sodium fluoride F-18, diagnostic, per study A9580       X dose, up to 30 millicuries Disofenin (Hepatolite)
From page 239...
... A9565/9572     X   X I-131 iobenguane (MIBG) , diagnostic, per A9508     X   X 0.5 mCi I -123 iobenguane MIBG, diagnostic, up to A9582     X   X 15 mCi Fluorodeoxyglucose F-18 FDG, diagnostic A9552       X Exametazime (Ceretec)
From page 240...
... autologous WBC's A9569 X       X In-111 labeled autologous WBC's A9570         X Sulfur colloid A9541 X       X Labeled red cells A9560 X       X Ga-67 citrate per mCi A9556     X   X In-111 ibiritumomab tiuxetan (Zevalin) , A9542     X   X diagnostic I-131 tositumomab (Bexxar)


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