A0021	Outside state ambulance serv
A0080	Noninterest escort in non er
A0090	Interest escort in non er
A0100	Nonemergency transport taxi
A0110	Nonemergency transport bus
A0120	Noner transport mini-bus
A0130	Noner transport wheelch van
A0140	Nonemergency transport air
A0160	Noner transport case worker
A0170	Transport parking fees/tolls
A0180	Noner transport lodgng recip
A0190	Noner transport meals recip
A0200	Noner transport lodgng escrt
A0210	Noner transport meals escort
A0225	Neonatal emergency transport
A0380	Basic life support mileage
A0382	Basic support routine suppls
A0384	Bls defibrillation supplies
A0390	Advanced life support mileag
A0392	Als defibrillation supplies
A0394	Als iv drug therapy supplies
A0396	Als esophageal intub suppls
A0398	Als routine disposble suppls
A0420	Ambulance waiting 1/2 hr
A0422	Ambulance 02 life sustaining
A0424	Extra ambulance attendant
A0425	Ground mileage
A0426	Als 1
A0427	Als1-emergency
A0428	Bls
A0429	Bls-emergency
A0430	Fixed wing air transport
A0431	Rotary wing air transport
A0432	Pi volunteer ambulance co
A0433	Als 2
A0434	Specialty care transport
A0435	Fixed wing air mileage
A0436	Rotary wing air mileage
A0888	Noncovered ambulance mileage
A0998	Ambulance response/treatment
A0999	Unlisted ambulance service
A4206	1 cc sterile syringe&needle
A4207	2 cc sterile syringe&needle
A4208	3 cc sterile syringe&needle
A4209	5+ cc sterile syringe&needle
A4210	Nonneedle injection device
A4211	Supp for self-adm injections
A4212	Non coring needle or stylet
A4213	20+ cc syringe only
A4215	Sterile needle
A4216	Sterile water/saline, 10 ml
A4217	Sterile water/saline, 500 ml
A4218	Sterile saline or water
A4220	Infusion pump refill kit
A4221	Supp non-insulin inf cath/wk
A4222	Infusion supplies with pump
A4223	Infusion supplies w/o pump
A4224	Supply insulin inf cath/wk
A4225	Sup/ext insulin inf pump syr
A4226	Weekly supply maint cgs pump
A4230	Infus insulin pump non needl
A4231	Infusion insulin pump needle
A4232	Syringe w/needle insulin 3cc
A4233	Alkalin batt for glucose mon
A4234	J-cell batt for glucose mon
A4235	Lithium batt for glucose mon
A4236	Silvr oxide batt glucose mon
A4244	Alcohol or peroxide per pint
A4245	Alcohol wipes per box
A4246	Betadine/phisohex solution
A4247	Betadine/iodine swabs/wipes
A4248	Chlorhexidine antisept
A4250	Urine reagent strips/tablets
A4252	Blood ketone test or strip
A4253	Blood glucose/reagent strips
A4255	Glucose monitor platforms
A4256	Calibrator solution/chips
A4257	Replace lensshield cartridge
A4258	Lancet device each
A4259	Lancets per box
A4261	Cervical cap contraceptive
A4262	Temporary tear duct plug
A4263	Permanent tear duct plug
A4264	Intratubal occlusion device
A4265	Paraffin
A4266	Diaphragm
A4267	Male condom
A4268	Female condom
A4269	Spermicide
A4270	Disposable endoscope sheath
A4280	Brst prsths adhsv attchmnt
A4281	Replacement breastpump tube
A4282	Replacement breastpump adpt
A4283	Replacement breastpump cap
A4284	Replcmnt breast pump shield
A4285	Replcmnt breast pump bottle
A4286	Replcmnt breastpump lok ring
A4290	Sacral nerve stim test lead
A4300	Cath impl vasc access portal
A4301	Implantable access syst perc
A4305	Drug delivery system >=50 ml
A4306	Drug delivery system <=50 ml
A4310	Insert tray w/o bag/cath
A4311	Catheter w/o bag 2-way latex
A4312	Cath w/o bag 2-way silicone
A4313	Catheter w/bag 3-way
A4314	Cath w/drainage 2-way latex
A4315	Cath w/drainage 2-way silcne
A4316	Cath w/drainage 3-way
A4320	Irrigation tray
A4321	Cath therapeutic irrig agent
A4322	Irrigation syringe
A4326	Male external catheter
A4327	Fem urinary collect dev cup
A4328	Fem urinary collect pouch
A4330	Stool collection pouch
A4331	Extension drainage tubing
A4332	Lube sterile packet
A4333	Urinary cath anchor device
A4334	Urinary cath leg strap
A4335	Incontinence supply
A4336	Urethral insert
A4337	Incontinent rectal insert
A4338	Indwelling catheter latex
A4340	Indwelling catheter special
A4344	Cath indw foley 2 way silicn
A4346	Cath indw foley 3 way
A4349	Disposable male external cat
A4351	Straight tip urine catheter
A4352	Coude tip urinary catheter
A4353	Intermittent urinary cath
A4354	Cath insertion tray w/bag
A4355	Bladder irrigation tubing
A4356	Ext ureth clmp or compr dvc
A4357	Bedside drainage bag
A4358	Urinary leg or abdomen bag
A4360	Disposable ext urethral dev
A4361	Ostomy face plate
A4362	Solid skin barrier
A4363	Ostomy clamp, replacement
A4364	Adhesive, liquid or equal
A4366	Ostomy vent
A4367	Ostomy belt
A4368	Ostomy filter
A4369	Skin barrier liquid per oz
A4371	Skin barrier powder per oz
A4372	Skin barrier solid 4x4 equiv
A4373	Skin barrier with flange
A4375	Drainable plastic pch w fcpl
A4376	Drainable rubber pch w fcplt
A4377	Drainable plstic pch w/o fp
A4378	Drainable rubber pch w/o fp
A4379	Urinary plastic pouch w fcpl
A4380	Urinary rubber pouch w fcplt
A4381	Urinary plastic pouch w/o fp
A4382	Urinary hvy plstc pch w/o fp
A4383	Urinary rubber pouch w/o fp
A4384	Ostomy faceplt/silicone ring
A4385	Ost skn barrier sld ext wear
A4387	Ost clsd pouch w att st barr
A4388	Drainable pch w ex wear barr
A4389	Drainable pch w st wear barr
A4390	Drainable pch ex wear convex
A4391	Urinary pouch w ex wear barr
A4392	Urinary pouch w st wear barr
A4393	Urine pch w ex wear bar conv
A4394	Ostomy pouch liq deodorant
A4395	Ostomy pouch solid deodorant
A4396	Peristomal hernia supprt blt
A4397	Irrigation supply sleeve
A4398	Ostomy irrigation bag
A4399	Ostomy irrig cone/cath w brs
A4400	Ostomy irrigation set
A4402	Lubricant per ounce
A4404	Ostomy ring each
A4405	Nonpectin based ostomy paste
A4406	Pectin based ostomy paste
A4407	Ext wear ost skn barr <=4sq""
A4408	Ext wear ost skn barr >4sq""
A4409	Ost skn barr convex <=4 sq i
A4410	Ost skn barr extnd >4 sq
A4411	Ost skn barr extnd =4sq
A4412	Ost pouch drain high output
A4413	2 pc drainable ost pouch
A4414	Ost sknbar w/o conv<=4 sq in
A4415	Ost skn barr w/o conv >4 sqi
A4416	Ost pch clsd w barrier/filtr
A4417	Ost pch w bar/bltinconv/fltr
A4418	Ost pch clsd w/o bar w filtr
A4419	Ost pch for bar w flange/flt
A4420	Ost pch clsd for bar w lk fl
A4421	Ostomy supply misc
A4422	Ost pouch absorbent material
A4423	Ost pch for bar w lk fl/fltr
A4424	Ost pch drain w bar & filter
A4425	Ost pch drain for barrier fl
A4426	Ost pch drain 2 piece system
A4427	Ost pch drain/barr lk flng/f
A4428	Urine ost pouch w faucet/tap
A4429	Urine ost pouch w bltinconv
A4430	Ost urine pch w b/bltin conv
A4431	Ost pch urine w barrier/tapv
A4432	Os pch urine w bar/fange/tap
A4433	Urine ost pch bar w lock fln
A4434	Ost pch urine w lock flng/ft
A4435	1pc ost pch drain hgh output
A4450	Non-waterproof tape
A4452	Waterproof tape
A4455	Adhesive remover per ounce
A4456	Adhesive remover, wipes
A4458	Reusable enema bag
A4459	Manual pump enema, reusable
A4461	Surgicl dress hold non-reuse
A4463	Surgical dress holder reuse
A4465	Non-elastic extremity binder
A4467	Belt strap sleev grmnt cover
A4470	Gravlee jet washer
A4480	Vabra aspirator
A4481	Tracheostoma filter
A4483	Moisture exchanger
A4490	Above knee surgical stocking
A4495	Thigh length surg stocking
A4500	Below knee surgical stocking
A4510	Full length surg stocking
A4520	Incontinence garment anytype
A4550	Surgical trays
A4553	Nondisp underpads, all sizes
A4554	Disposable underpads
A4555	Ca tx e-stim electr/transduc
A4556	Electrodes, pair
A4557	Lead wires, pair
A4558	Conductive gel or paste
A4559	Coupling gel or paste
A4561	Pessary rubber, any type
A4562	Pessary, non rubber,any type
A4563	Vag inser rectal control sys
A4565	Slings
A4566	Should sling/vest/abrestrain
A4570	Splint
A4575	Hyperbaric o2 chamber disps
A4580	Cast supplies (plaster)
A4590	Special casting material
A4595	Tens suppl 2 lead per month
A4600	Sleeve, inter limb comp dev
A4601	Lith ion non prosth recharge
A4602	Replace lithium battery 1.5v
A4604	Tubing with heating element
A4605	Trach suction cath close sys
A4606	Oxygen probe used w oximeter
A4608	Transtracheal oxygen cath
A4611	Heavy duty battery
A4612	Battery cables
A4613	Battery charger
A4614	Hand-held pefr meter
A4615	Cannula nasal
A4616	Tubing (oxygen) per foot
A4617	Mouth piece
A4618	Breathing circuits
A4619	Face tent
A4620	Variable concentration mask
A4623	Tracheostomy inner cannula
A4624	Tracheal suction tube
A4625	Trach care kit for new trach
A4626	Tracheostomy cleaning brush
A4627	Spacer bag/reservoir
A4628	Oropharyngeal suction cath
A4629	Tracheostomy care kit
A4630	Repl bat t.e.n.s. own by pt
A4633	Uvl replacement bulb
A4634	Replacement bulb th lightbox
A4635	Underarm crutch pad
A4636	Handgrip for cane etc
A4637	Repl tip cane/crutch/walker
A4638	Repl batt pulse gen sys
A4639	Infrared ht sys replcmnt pad
A4640	Alternating pressure pad
A4641	Radiopharm dx agent noc
A4642	In111 satumomab
A4648	Implantable tissue marker
A4649	Surgical supplies
A4650	Implant radiation dosimeter
A4651	Calibrated microcap tube
A4652	Microcapillary tube sealant
A4653	Pd catheter anchor belt
A4657	Syringe w/wo needle
A4660	Sphyg/bp app w cuff and stet
A4663	Dialysis blood pressure cuff
A4670	Automatic bp monitor, dial
A4671	Disposable cycler set
A4672	Drainage ext line, dialysis
A4673	Ext line w easy lock connect
A4674	Chem/antisept solution, 8oz
A4680	Activated carbon filter, ea
A4690	Dialyzer, each
A4706	Bicarbonate conc sol per gal
A4707	Bicarbonate conc pow per pac
A4708	Acetate conc sol per gallon
A4709	Acid conc sol per gallon
A4714	Treated water per gallon
A4719	"y set"" tubing"
A4720	Dialysat sol fld vol > 249cc
A4721	Dialysat sol fld vol > 999cc
A4722	Dialys sol fld vol > 1999cc
A4723	Dialys sol fld vol > 2999cc
A4724	Dialys sol fld vol > 3999cc
A4725	Dialys sol fld vol > 4999cc
A4726	Dialys sol fld vol > 5999cc
A4728	Dialysate solution, non-dex
A4730	Fistula cannulation set, ea
A4736	Topical anesthetic, per gram
A4737	Inj anesthetic per 10 ml
A4740	Shunt accessory
A4750	Art or venous blood tubing
A4755	Comb art/venous blood tubing
A4760	Dialysate sol test kit, each
A4765	Dialysate conc pow per pack
A4766	Dialysate conc sol add 10 ml
A4770	Blood collection tube/vacuum
A4771	Serum clotting time tube
A4772	Blood glucose test strips
A4773	Occult blood test strips
A4774	Ammonia test strips
A4802	Protamine sulfate per 50 mg
A4860	Disposable catheter tips
A4870	Plumb/elec wk hm hemo equip
A4890	Repair/maint cont hemo equip
A4911	Drain bag/bottle
A4913	Misc dialysis supplies noc
A4918	Venous pressure clamp
A4927	Non-sterile gloves
A4928	Surgical mask
A4929	Tourniquet for dialysis, ea
A4930	Sterile, gloves per pair
A4931	Reusable oral thermometer
A4932	Reusable rectal thermometer
A5051	Pouch clsd w barr attached
A5052	Clsd ostomy pouch w/o barr
A5053	Clsd ostomy pouch faceplate
A5054	Clsd ostomy pouch w/flange
A5055	Stoma cap
A5056	1 pc ost pouch w filter
A5057	1 pc ost pou w built-in conv
A5061	Pouch drainable w barrier at
A5062	Drnble ostomy pouch w/o barr
A5063	Drain ostomy pouch w/flange
A5071	Urinary pouch w/barrier
A5072	Urinary pouch w/o barrier
A5073	Urinary pouch on barr w/flng
A5081	Stoma plug or seal, any type
A5082	Continent stoma catheter
A5083	Stoma absorptive cover
A5093	Ostomy accessory convex inse
A5102	Bedside drain btl w/wo tube
A5105	Urinary suspensory
A5112	Urinary leg bag
A5113	Latex leg strap
A5114	Foam/fabric leg strap
A5120	Skin barrier, wipe or swab
A5121	Solid skin barrier 6x6
A5122	Solid skin barrier 8x8
A5126	Disk/foam pad +or- adhesive
A5131	Appliance cleaner
A5200	Percutaneous catheter anchor
A5500	Diab shoe for density insert
A5501	Diabetic custom molded shoe
A5503	Diabetic shoe w/roller/rockr
A5504	Diabetic shoe with wedge
A5505	Diab shoe w/metatarsal bar
A5506	Diabetic shoe w/off set heel
A5507	Modification diabetic shoe
A5508	Diabetic deluxe shoe
A5510	Compression form shoe insert
A5512	Multi den insert direct form
A5513	Multi den insert custom mold
A5514	Mult den insert dir carv/cam
A6000	Wound warming wound cover
A6010	Collagen based wound filler
A6011	Collagen gel/paste wound fil
A6021	Collagen dressing <=16 sq in
A6022	Collagen drsg>16<=48 sq in
A6023	Collagen dressing >48 sq in
A6024	Collagen dsg wound filler
A6025	Silicone gel sheet, each
A6154	Wound pouch each
A6196	Alginate dressing <=16 sq in
A6197	Alginate drsg >16 <=48 sq in
A6198	Alginate dressing > 48 sq in
A6199	Alginate drsg wound filler
A6203	Composite drsg <= 16 sq in
A6204	Composite drsg >16<=48 sq in
A6205	Composite drsg > 48 sq in
A6206	Contact layer <= 16 sq in
A6207	Contact layer >16<= 48 sq in
A6208	Contact layer > 48 sq in
A6209	Foam drsg <=16 sq in w/o bdr
A6210	Foam drg >16<=48 sq in w/o b
A6211	Foam drg > 48 sq in w/o brdr
A6212	Foam drg <=16 sq in w/border
A6213	Foam drg >16<=48 sq in w/bdr
A6214	Foam drg > 48 sq in w/border
A6215	Foam dressing wound filler
A6216	Non-sterile gauze<=16 sq in
A6217	Non-sterile gauze>16<=48 sq
A6218	Non-sterile gauze > 48 sq in
A6219	Gauze <= 16 sq in w/border
A6220	Gauze >16 <=48 sq in w/bordr
A6221	Gauze > 48 sq in w/border
A6222	Gauze <=16 in no w/sal w/o b
A6223	Gauze >16<=48 no w/sal w/o b
A6224	Gauze > 48 in no w/sal w/o b
A6228	Gauze <= 16 sq in water/sal
A6229	Gauze >16<=48 sq in watr/sal
A6230	Gauze > 48 sq in water/salne
A6231	Hydrogel dsg<=16 sq in
A6232	Hydrogel dsg>16<=48 sq in
A6233	Hydrogel dressing >48 sq in
A6234	Hydrocolld drg <=16 w/o bdr
A6235	Hydrocolld drg >16<=48 w/o b
A6236	Hydrocolld drg > 48 in w/o b
A6237	Hydrocolld drg <=16 in w/bdr
A6238	Hydrocolld drg >16<=48 w/bdr
A6239	Hydrocolld drg > 48 in w/bdr
A6240	Hydrocolld drg filler paste
A6241	Hydrocolloid drg filler dry
A6242	Hydrogel drg <=16 in w/o bdr
A6243	Hydrogel drg >16<=48 w/o bdr
A6244	Hydrogel drg >48 in w/o bdr
A6245	Hydrogel drg <= 16 in w/bdr
A6246	Hydrogel drg >16<=48 in w/b
A6247	Hydrogel drg > 48 sq in w/b
A6248	Hydrogel drsg gel filler
A6250	Skin seal protect moisturizr
A6251	Absorpt drg <=16 sq in w/o b
A6252	Absorpt drg >16 <=48 w/o bdr
A6253	Absorpt drg > 48 sq in w/o b
A6254	Absorpt drg <=16 sq in w/bdr
A6255	Absorpt drg >16<=48 in w/bdr
A6256	Absorpt drg > 48 sq in w/bdr
A6257	Transparent film <= 16 sq in
A6258	Transparent film >16<=48 in
A6259	Transparent film > 48 sq in
A6260	Wound cleanser any type/size
A6261	Wound filler gel/paste /oz
A6262	Wound filler dry form / gram
A6266	Impreg gauze no h20/sal/yard
A6402	Sterile gauze <= 16 sq in
A6403	Sterile gauze>16 <= 48 sq in
A6404	Sterile gauze > 48 sq in
A6407	Packing strips, non-impreg
A6410	Sterile eye pad
A6411	Non-sterile eye pad
A6412	Occlusive eye patch
A6413	Adhesive bandage, first-aid
A6441	Pad band w>=3" <5""/yd"
A6442	Conform band n/s w<3"/yd"
A6443	Conform band n/s w>=3"<5""/yd"
A6444	Conform band n/s w>=5"/yd"
A6445	Conform band s w <3"/yd"
A6446	Conform band s w>=3" <5""/yd"
A6447	Conform band s w >=5"/yd"
A6448	Lt compres band <3"/yd"
A6449	Lt compres band >=3" <5""/yd"
A6450	Lt compres band >=5"/yd"
A6451	Mod compres band w>=3"<5""/yd"
A6452	High compres band w>=3"<5""yd"
A6453	Self-adher band w <3"/yd"
A6454	Self-adher band w>=3" <5""/yd"
A6455	Self-adher band >=5"/yd"
A6456	Zinc paste band w >=3"<5""/yd"
A6457	Tubular dressing
A6460	Synthetic drsg <= 16 sq in
A6461	Synthetic drsg >16<=48 sq in
A6501	Compres burngarment bodysuit
A6502	Compres burngarment chinstrp
A6503	Compres burngarment facehood
A6504	Cmprsburngarment glove-wrist
A6505	Cmprsburngarment glove-elbow
A6506	Cmprsburngrmnt glove-axilla
A6507	Cmprs burngarment foot-knee
A6508	Cmprs burngarment foot-thigh
A6509	Compres burn garment jacket
A6510	Compres burn garment leotard
A6511	Compres burn garment panty
A6512	Compres burn garment, noc
A6513	Compress burn mask face/neck
A6530	Compression stocking bk18-30
A6531	Compression stocking bk30-40
A6532	Compression stocking bk40-50
A6533	Gc stocking thighlngth 18-30
A6534	Gc stocking thighlngth 30-40
A6535	Gc stocking thighlngth 40-50
A6536	Gc stocking full lngth 18-30
A6537	Gc stocking full lngth 30-40
A6538	Gc stocking full lngth 40-50
A6539	Gc stocking waistlngth 18-30
A6540	Gc stocking waistlngth 30-40
A6541	Gc stocking waistlngth 40-50
A6544	Gc stocking garter belt
A6545	Grad comp non-elastic bk
A6549	G compression stocking
A6550	Neg pres wound ther drsg set
A7000	Disposable canister for pump
A7001	Nondisposable pump canister
A7002	Tubing used w suction pump
A7003	Nebulizer administration set
A7004	Disposable nebulizer sml vol
A7005	Nondisposable nebulizer set
A7006	Filtered nebulizer admin set
A7007	Lg vol nebulizer disposable
A7008	Disposable nebulizer prefill
A7009	Nebulizer reservoir bottle
A7010	Disposable corrugated tubing
A7012	Nebulizer water collec devic
A7013	Disposable compressor filter
A7014	Compressor nondispos filter
A7015	Aerosol mask used w nebulize
A7016	Nebulizer dome & mouthpiece
A7017	Nebulizer not used w oxygen
A7018	Water distilled w/nebulizer
A7020	Interface, cough stim device
A7025	Replace chest compress vest
A7026	Replace chst cmprss sys hose
A7027	Combination oral/nasal mask
A7028	Repl oral cushion combo mask
A7029	Repl nasal pillow comb mask
A7030	Cpap full face mask
A7031	Replacement facemask interfa
A7032	Replacement nasal cushion
A7033	Replacement nasal pillows
A7034	Nasal application device
A7035	Pos airway press headgear
A7036	Pos airway press chinstrap
A7037	Pos airway pressure tubing
A7038	Pos airway pressure filter
A7039	Filter, non disposable w pap
A7040	One way chest drain valve
A7041	Water seal drain container
A7044	Pap oral interface
A7045	Repl exhalation port for pap
A7046	Repl water chamber, pap dev
A7047	Resp suction oral interface
A7048	Vacuum drain bottle/tube kit
A7501	Tracheostoma valve w diaphra
A7502	Replacement diaphragm/fplate
A7503	Hmes filter holder or cap
A7504	Tracheostoma hmes filter
A7505	Hmes or trach valve housing
A7506	Hmes/trachvalve adhesivedisk
A7507	Integrated filter & holder
A7508	Housing & integrated adhesiv
A7509	Heat & moisture exchange sys
A7520	Trach/laryn tube non-cuffed
A7521	Trach/laryn tube cuffed
A7522	Trach/laryn tube stainless
A7523	Tracheostomy shower protect
A7524	Tracheostoma stent/stud/bttn
A7525	Tracheostomy mask
A7526	Tracheostomy tube collar
A7527	Trach/laryn tube plug/stop
A8000	Soft protect helmet prefab
A8001	Hard protect helmet prefab
A8002	Soft protect helmet custom
A8003	Hard protect helmet custom
A8004	Repl soft interface, helmet
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 botle/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
A9285	Inversion eversion cor devic
A9286	Any hygienic item, device
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
A9513	Lutetium lu 177 dotatat ther
A9515	Choline c-11
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
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
A9587	Gallium ga-68
A9588	Fluciclovine f-18
A9589	Insti hexaminolevulinate hcl
A9590	Iodine i-131 iobenguane 1mci
A9597	Pet, dx, for tumor id, noc
A9598	Pet dx for non-tumor id, noc
A9600	Sr89 strontium
A9604	Sm 153 lexidronam
A9606	Radium ra223 dichloride ther
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