Technetium tc-99m tetrofosmin, diagnostic, per study dose
Short Description: Tc99m tetrofosmin
Coverage Code: Carrier judgment
Action Code: No maintenance for this code
Date Added: January 1, 1998
Effective Date: January 1, 2009
Termination Date:
Short Description: Tc99m tetrofosmin
Coverage Code: Carrier judgment
Action Code: No maintenance for this code
Date Added: January 1, 1998
Effective Date: January 1, 2009
Termination Date: