DataLabs.Health : REST Lookup Web Service Test-Drive

RESTful Lookup — Test-Drive (2007 – 2026)

How to Find tc HCPCS Data Using DataLabs API

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{
  "HCPCS": [
    {
      "HCPC": "A9500",
      "LongDescription": "Technetium tc-99m sestamibi, diagnostic, per study dose",
      "ShortDescription": "Tc99m sestamibi",
      "PI1": "57",
      "PricingIndicatorCode1": "Other carrier priced",
      "MPI": "A",
      "MultiplePricingIndicatorCode": "Not applicable as HCPCS priced under one methodology",
      "Coverage": "C",
      "CoverageDescription": "Carrier judgment",
      "BETOS": "I1E",
      "BETOSDescription": "Standard imaging - nuclear medicine",
      "TOS1": "4",
      "TypeOfServiceCode1": "Diagnostic radiology",
      "AnestBaseUnits": "0",
      "CodeAddDate": "19960101",
      "ActionEffDate": "20100101",
      "ActionCode": "N",
      "ActionCodeDescription": "No maintenance for this code",
      "Status": "Actual",
      "LastUpdate": "2026"
    },
    {
      "HCPC": "A9501",
      "LongDescription": "Technetium tc-99m teboroxime, diagnostic, per study dose",
      "ShortDescription": "Technetium tc-99m teboroxime",
      "PI1": "57",
      "PricingIndicatorCode1": "Other carrier priced",
      "MPI": "A",
      "MultiplePricingIndicatorCode": "Not applicable as HCPCS priced under one methodology",
      "Coverage": "C",
      "CoverageDescription": "Carrier judgment",
      "BETOS": "I1E",
      "BETOSDescription": "Standard imaging - nuclear medicine",
      "TOS1": "4",
      "TypeOfServiceCode1": "Diagnostic radiology",
      "AnestBaseUnits": "0",
      "CodeAddDate": "20080101",
      "ActionEffDate": "20080101",
      "ActionCode": "N",
      "ActionCodeDescription": "No maintenance for this code",
      "Status": "Actual",
      "LastUpdate": "2026"
    },
    {
      "HCPC": "A9502",
      "LongDescription": "Technetium tc-99m tetrofosmin, diagnostic, per study dose",
      "ShortDescription": "Tc99m tetrofosmin",
      "PI1": "57",
      "PricingIndicatorCode1": "Other carrier priced",
      "MPI": "A",
      "MultiplePricingIndicatorCode": "Not applicable as HCPCS priced under one methodology",
      "Coverage": "C",
      "CoverageDescription": "Carrier judgment",
      "BETOS": "I1E",
      "BETOSDescription": "Standard imaging - nuclear medicine",
      "TOS1": "4",
      "TypeOfServiceCode1": "Diagnostic radiology",
      "AnestBaseUnits": "0",
      "CodeAddDate": "19980101",
      "ActionEffDate": "20090101",
      "ActionCode": "N",
      "ActionCodeDescription": "No maintenance for this code",
      "Status": "Actual",
      "LastUpdate": "2026"
    },
    {
      "HCPC": "A9503",
      "LongDescription": "Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries",
      "ShortDescription": "Tc99m medronate",
      "PI1": "57",
      "PricingIndicatorCode1": "Other carrier priced",
      "MPI": "A",
      "MultiplePricingIndicatorCode": "Not applicable as HCPCS priced under one methodology",
      "Coverage": "C",
      "CoverageDescription": "Carrier judgment",
      "BETOS": "I1E",
      "BETOSDescription": "Standard imaging - nuclear medicine",
      "TOS1": "4",
      "TypeOfServiceCode1": "Diagnostic radiology",
      "AnestBaseUnits": "0",
      "CodeAddDate": "19970101",
      "ActionEffDate": "20060101",
      "ActionCode": "N",
      "ActionCodeDescription": "No maintenance for this code",
      "Status": "Actual",
      "LastUpdate": "2026"
    },
    {
      "HCPC": "A9504",
      "LongDescription": "Technetium tc-99m apcitide, diagnostic, per study dose, up to 20 millicuries",
      "ShortDescription": "Tc99m apcitide",
      "PI1": "57",
      "PricingIndicatorCode1": "Other carrier priced",
      "MPI": "A",
      "MultiplePricingIndicatorCode": "Not applicable as HCPCS priced under one methodology",
      "Coverage": "C",
      "CoverageDescription": "Carrier judgment",
      "BETOS": "I1E",
      "BETOSDescription": "Standard imaging - nuclear medicine",
      "TOS1": "4",
      "TypeOfServiceCode1": "Diagnostic radiology",
      "AnestBaseUnits": "0",
      "CodeAddDate": "20000101",
      "ActionEffDate": "20060101",
      "ActionCode": "N",
      "ActionCodeDescription": "No maintenance for this code",
      "Status": "Actual",
      "LastUpdate": "2026"
    },
    {
      "HCPC": "A9506",
      "LongDescription": "Graphite crucible for preparation of technetium tc 99m-labeled carbon aerosol, one crucible",
      "ShortDescription": "Tc-99m graphite crucible",
      "PI1": "99",
      "PricingIndicatorCode1": "Value not established",
      "MPI": "9",
      "MultiplePricingIndicatorCode": "Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99')",
      "Coverage": "C",
      "CoverageDescription": "Carrier judgment",
      "ASCPayGrp": "YY",
      "ASCPayGrpEffDate": "20240701",
      "BETOS": "Z2",
      "BETOSDescription": "Undefined codes",
      "TOS1": "9",
      "TypeOfServiceCode1": "Other medical items or services",
      "AnestBaseUnits": "0",
      "CodeAddDate": "20240701",
      "ActionEffDate": "20240701",
      "ActionCode": "N",
      "ActionCodeDescription": "No maintenance for this code",
      "Status": "Actual",
      "LastUpdate": "2026"
    },
    {
      "HCPC": "A9510",
      "LongDescription": "Technetium tc-99m disofenin, diagnostic, per study dose, up to 15 millicuries",
      "ShortDescription": "Tc99m disofenin",
      "PI1": "51",
      "PricingIndicatorCode1": "Drugs",
      "MPI": "A",
      "MultiplePricingIndicatorCode": "Not applicable as HCPCS priced under one methodology",
      "Coverage": "C",
      "CoverageDescription": "Carrier judgment",
      "BETOS": "I1E",
      "BETOSDescription": "Standard imaging - nuclear medicine",
      "TOS1": "4",
      "TypeOfServiceCode1": "Diagnostic radiology",
      "AnestBaseUnits": "0",
      "CodeAddDate": "20010101",
      "ActionEffDate": "20060101",
      "ActionCode": "N",
      "ActionCodeDescription": "No maintenance for this code",
      "Status": "Actual",
      "LastUpdate": "2026"
    },
    {
      "HCPC": "A9512",
      "LongDescription": "Technetium tc-99m pertechnetate, diagnostic, per millicurie",
      "ShortDescription": "Tc99m pertechnetate",
      "PI1": "57",
      "PricingIndicatorCode1": "Other carrier priced",
      "MPI": "A",
      "MultiplePricingIndicatorCode": "Not applicable as HCPCS priced under one methodology",
      "Coverage": "C",
      "CoverageDescription": "Carrier judgment",
      "BETOS": "I1E",
      "BETOSDescription": "Standard imaging - nuclear medicine",
      "TOS1": "4",
      "TypeOfServiceCode1": "Diagnostic radiology",
      "AnestBaseUnits": "0",
      "CodeAddDate": "20030101",
      "ActionEffDate": "20060101",
      "ActionCode": "N",
      "ActionCodeDescription": "No maintenance for this code",
      "Status": "Actual",
      "LastUpdate": "2026"
    },
    {
      "HCPC": "A9520",
      "LongDescription": "Technetium tc-99m tilmanocept, diagnostic, up to 0.5 millicuries",
      "ShortDescription": "Tc99 tilmanocept diag 0.5mci",
      "PI1": "57",
      "PricingIndicatorCode1": "Other carrier priced",
      "MPI": "A",
      "MultiplePricingIndicatorCode": "Not applicable as HCPCS priced under one methodology",
      "Coverage": "C",
      "CoverageDescription": "Carrier judgment",
      "BETOS": "I1E",
      "BETOSDescription": "Standard imaging - nuclear medicine",
      "TOS1": "4",
      "TypeOfServiceCode1": "Diagnostic radiology",
      "AnestBaseUnits": "0",
      "CodeAddDate": "20140101",
      "ActionEffDate": "20160101",
      "ActionCode": "N",
      "ActionCodeDescription": "No maintenance for this code",
      "Status": "Actual",
      "LastUpdate": "2026"
    },
    {
      "HCPC": "A9521",
      "LongDescription": "Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries",
      "ShortDescription": "Tc99m exametazime",
      "PI1": "57",
      "PricingIndicatorCode1": "Other carrier priced",
      "MPI": "A",
      "MultiplePricingIndicatorCode": "Not applicable as HCPCS priced under one methodology",
      "Coverage": "C",
      "CoverageDescription": "Carrier judgment",
      "ASCPayGrp": "YY",
      "ASCPayGrpEffDate": "20250101",
      "BETOS": "I1E",
      "BETOSDescription": "Standard imaging - nuclear medicine",
      "TOS1": "4",
      "TypeOfServiceCode1": "Diagnostic radiology",
      "AnestBaseUnits": "0",
      "CodeAddDate": "20030101",
      "ActionEffDate": "20250101",
      "ActionCode": "N",
      "ActionCodeDescription": "No maintenance for this code",
      "Status": "Actual",
      "LastUpdate": "2026"
    },
    {
      "HCPC": "A9536",
      "LongDescription": "Technetium tc-99m depreotide, diagnostic, per study dose, up to 35 millicuries",
      "ShortDescription": "Tc99m depreotide",
      "PI1": "57",
      "PricingIndicatorCode1": "Other carrier priced",
      "MPI": "A",
      "MultiplePricingIndicatorCode": "Not applicable as HCPCS priced under one methodology",
      "Coverage": "C",
      "CoverageDescription": "Carrier judgment",
      "BETOS": "I1E",
      "BETOSDescription": "Standard imaging - nuclear medicine",
      "TOS1": "4",
      "TypeOfServiceCode1": "Diagnostic radiology",
      "AnestBaseUnits": "0",
      "CodeAddDate": "20060101",
      "ActionEffDate": "20060101",
      "ActionCode": "N",
      "ActionCodeDescription": "No maintenance for this code",
      "Status": "Actual",
      "LastUpdate": "2026"
    },
    {
      "HCPC": "A9537",
      "LongDescription": "Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries",
      "ShortDescription": "Tc99m mebrofenin",
      "PI1": "57",
      "PricingIndicatorCode1": "Other carrier priced",
      "MPI": "A",
      "MultiplePricingIndicatorCode": "Not applicable as HCPCS priced under one methodology",
      "Coverage": "C",
      "CoverageDescription": "Carrier judgment",
      "BETOS": "I1E",
      "BETOSDescription": "Standard imaging - nuclear medicine",
      "TOS1": "4",
      "TypeOfServiceCode1": "Diagnostic radiology",
      "AnestBaseUnits": "0",
      "CodeAddDate": "20060101",
      "ActionEffDate": "20060101",
      "ActionCode": "N",
      "ActionCodeDescription": "No maintenance for this code",
      "Status": "Actual",
      "LastUpdate": "2026"
    },
    {
      "HCPC": "A9538",
      "LongDescription": "Technetium tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries",
      "ShortDescription": "Tc99m pyrophosphate",
      "PI1": "57",
      "PricingIndicatorCode1": "Other carrier priced",
      "MPI": "A",
      "MultiplePricingIndicatorCode": "Not applicable as HCPCS priced under one methodology",
      "Coverage": "C",
      "CoverageDescription": "Carrier judgment",
      "BETOS": "I1E",
      "BETOSDescription": "Standard imaging - nuclear medicine",
      "TOS1": "4",
      "TypeOfServiceCode1": "Diagnostic radiology",
      "AnestBaseUnits": "0",
      "CodeAddDate": "20060101",
      "ActionEffDate": "20060101",
      "ActionCode": "N",
      "ActionCodeDescription": "No maintenance for this code",
      "Status": "Actual",
      "LastUpdate": "2026"
    },
    {
      "HCPC": "A9539",
      "LongDescription": "Technetium tc-99m pentetate, diagnostic, per study dose, up to 25 millicuries",
      "ShortDescription": "Tc99m pentetate",
      "PI1": "57",
      "PricingIndicatorCode1": "Other carrier priced",
      "MPI": "A",
      "MultiplePricingIndicatorCode": "Not applicable as HCPCS priced under one methodology",
      "Coverage": "C",
      "CoverageDescription": "Carrier judgment",
      "BETOS": "I1E",
      "BETOSDescription": "Standard imaging - nuclear medicine",
      "TOS1": "4",
      "TypeOfServiceCode1": "Diagnostic radiology",
      "AnestBaseUnits": "0",
      "CodeAddDate": "20060101",
      "ActionEffDate": "20060101",
      "ActionCode": "N",
      "ActionCodeDescription": "No maintenance for this code",
      "Status": "Actual",
      "LastUpdate": "2026"
    },
    {
      "HCPC": "A9540",
      "LongDescription": "Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries",
      "ShortDescription": "Tc99m maa",
      "PI1": "57",
      "PricingIndicatorCode1": "Other carrier priced",
      "MPI": "A",
      "MultiplePricingIndicatorCode": "Not applicable as HCPCS priced under one methodology",
      "Coverage": "C",
      "CoverageDescription": "Carrier judgment",
      "BETOS": "I1E",
      "BETOSDescription": "Standard imaging - nuclear medicine",
      "TOS1": "4",
      "TypeOfServiceCode1": "Diagnostic radiology",
      "AnestBaseUnits": "0",
      "CodeAddDate": "20060101",
      "ActionEffDate": "20060101",
      "ActionCode": "N",
      "ActionCodeDescription": "No maintenance for this code",
      "Status": "Actual",
      "LastUpdate": "2026"
    },
    {
      "HCPC": "A9541",
      "LongDescription": "Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries",
      "ShortDescription": "Tc99m sulfur colloid",
      "PI1": "57",
      "PricingIndicatorCode1": "Other carrier priced",
      "MPI": "A",
      "MultiplePricingIndicatorCode": "Not applicable as HCPCS priced under one methodology",
      "Coverage": "C",
      "CoverageDescription": "Carrier judgment",
      "BETOS": "I1E",
      "BETOSDescription": "Standard imaging - nuclear medicine",
      "TOS1": "4",
      "TypeOfServiceCode1": "Diagnostic radiology",
      "AnestBaseUnits": "0",
      "CodeAddDate": "20060101",
      "ActionEffDate": "20060101",
      "ActionCode": "N",
      "ActionCodeDescription": "No maintenance for this code",
      "Status": "Actual",
      "LastUpdate": "2026"
    },
    {
      "HCPC": "A9550",
      "LongDescription": "Technetium tc-99m sodium gluceptate, diagnostic, per study dose, up to 25 millicurie",
      "ShortDescription": "Tc99m gluceptate",
      "PI1": "53",
      "PricingIndicatorCode1": "Statute",
      "MPI": "A",
      "MultiplePricingIndicatorCode": "Not applicable as HCPCS priced under one methodology",
      "Coverage": "C",
      "CoverageDescription": "Carrier judgment",
      "BETOS": "I1E",
      "BETOSDescription": "Standard imaging - nuclear medicine",
      "TOS1": "4",
      "TypeOfServiceCode1": "Diagnostic radiology",
      "AnestBaseUnits": "0",
      "CodeAddDate": "20060101",
      "ActionEffDate": "20060101",
      "ActionCode": "N",
      "ActionCodeDescription": "No maintenance for this code",
      "Status": "Actual",
      "LastUpdate": "2026"
    },
    {
      "HCPC": "A9551",
      "LongDescription": "Technetium tc-99m succimer, diagnostic, per study dose, up to 10 millicuries",
      "ShortDescription": "Tc99m succimer",
      "PI1": "53",
      "PricingIndicatorCode1": "Statute",
      "MPI": "A",
      "MultiplePricingIndicatorCode": "Not applicable as HCPCS priced under one methodology",
      "Coverage": "C",
      "CoverageDescription": "Carrier judgment",
      "BETOS": "I1E",
      "BETOSDescription": "Standard imaging - nuclear medicine",
      "TOS1": "4",
      "TypeOfServiceCode1": "Diagnostic radiology",
      "AnestBaseUnits": "0",
      "CodeAddDate": "20060101",
      "ActionEffDate": "20060101",
      "ActionCode": "N",
      "ActionCodeDescription": "No maintenance for this code",
      "Status": "Actual",
      "LastUpdate": "2026"
    },
    {
      "HCPC": "A9557",
      "LongDescription": "Technetium tc-99m bicisate, diagnostic, per study dose, up to 25 millicuries",
      "ShortDescription": "Tc99m bicisate",
      "PI1": "57",
      "PricingIndicatorCode1": "Other carrier priced",
      "MPI": "A",
      "MultiplePricingIndicatorCode": "Not applicable as HCPCS priced under one methodology",
      "Coverage": "C",
      "CoverageDescription": "Carrier judgment",
      "ASCPayGrp": "YY",
      "ASCPayGrpEffDate": "20250101",
      "BETOS": "I1E",
      "BETOSDescription": "Standard imaging - nuclear medicine",
      "TOS1": "4",
      "TypeOfServiceCode1": "Diagnostic radiology",
      "AnestBaseUnits": "0",
      "CodeAddDate": "20060101",
      "ActionEffDate": "20250101",
      "ActionCode": "N",
      "ActionCodeDescription": "No maintenance for this code",
      "Status": "Actual",
      "LastUpdate": "2026"
    },
    {
      "HCPC": "A9560",
      "LongDescription": "Technetium tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries",
      "ShortDescription": "Tc99m labeled rbc",
      "PI1": "57",
      "PricingIndicatorCode1": "Other carrier priced",
      "MPI": "A",
      "MultiplePricingIndicatorCode": "Not applicable as HCPCS priced under one methodology",
      "Coverage": "C",
      "CoverageDescription": "Carrier judgment",
      "BETOS": "I1E",
      "BETOSDescription": "Standard imaging - nuclear medicine",
      "TOS1": "4",
      "TypeOfServiceCode1": "Diagnostic radiology",
      "AnestBaseUnits": "0",
      "CodeAddDate": "20060101",
      "ActionEffDate": "20060101",
      "ActionCode": "N",
      "ActionCodeDescription": "No maintenance for this code",
      "Status": "Actual",
      "LastUpdate": "2026"
    },
    {
      "HCPC": "A9561",
      "LongDescription": "Technetium tc-99m oxidronate, diagnostic, per study dose, up to 30 millicuries",
      "ShortDescription": "Tc99m oxidronate",
      "PI1": "57",
      "PricingIndicatorCode1": "Other carrier priced",
      "MPI": "A",
      "MultiplePricingIndicatorCode": "Not applicable as HCPCS priced under one methodology",
      "Coverage": "C",
      "CoverageDescription": "Carrier judgment",
      "BETOS": "I1E",
      "BETOSDescription": "Standard imaging - nuclear medicine",
      "TOS1": "4",
      "TypeOfServiceCode1": "Diagnostic radiology",
      "AnestBaseUnits": "0",
      "CodeAddDate": "20060101",
      "ActionEffDate": "20060101",
      "ActionCode": "N",
      "ActionCodeDescription": "No maintenance for this code",
      "Status": "Actual",
      "LastUpdate": "2026"
    },
    {
      "HCPC": "A9562",
      "LongDescription": "Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries",
      "ShortDescription": "Tc99m mertiatide",
      "PI1": "57",
      "PricingIndicatorCode1": "Other carrier priced",
      "MPI": "A",
      "MultiplePricingIndicatorCode": "Not applicable as HCPCS priced under one methodology",
      "Coverage": "C",
      "CoverageDescription": "Carrier judgment",
      "BETOS": "I1E",
      "BETOSDescription": "Standard imaging - nuclear medicine",
      "TOS1": "4",
      "TypeOfServiceCode1": "Diagnostic radiology",
      "AnestBaseUnits": "0",
      "CodeAddDate": "20060101",
      "ActionEffDate": "20060101",
      "ActionCode": "N",
      "ActionCodeDescription": "No maintenance for this code",
      "Status": "Actual",
      "LastUpdate": "2026"
    },
    {
      "HCPC": "A9566",
      "LongDescription": "Technetium tc-99m fanolesomab, diagnostic, per study dose, up to 25 millicuries",
      "ShortDescription": "Tc99m fanolesomab",
      "PI1": "57",
      "PricingIndicatorCode1": "Other carrier priced",
      "MPI": "A",
      "MultiplePricingIndicatorCode": "Not applicable as HCPCS priced under one methodology",
      "Coverage": "C",
      "CoverageDescription": "Carrier judgment",
      "BETOS": "I1E",
      "BETOSDescription": "Standard imaging - nuclear medicine",
      "TOS1": "4",
      "TypeOfServiceCode1": "Diagnostic radiology",
      "AnestBaseUnits": "0",
      "CodeAddDate": "20060101",
      "ActionEffDate": "20060101",
      "ActionCode": "N",
      "ActionCodeDescription": "No maintenance for this code",
      "Status": "Actual",
      "LastUpdate": "2026"
    },
    {
      "HCPC": "A9567",
      "LongDescription": "Technetium tc-99m pentetate, diagnostic, aerosol, per study dose, up to 75 millicuries",
      "ShortDescription": "Technetium tc-99m aerosol",
      "PI1": "57",
      "PricingIndicatorCode1": "Other carrier priced",
      "MPI": "A",
      "MultiplePricingIndicatorCode": "Not applicable as HCPCS priced under one methodology",
      "Coverage": "C",
      "CoverageDescription": "Carrier judgment",
      "BETOS": "I1E",
      "BETOSDescription": "Standard imaging - nuclear medicine",
      "TOS1": "4",
      "TypeOfServiceCode1": "Diagnostic radiology",
      "AnestBaseUnits": "0",
      "CodeAddDate": "20060101",
      "ActionEffDate": "20060101",
      "ActionCode": "N",
      "ActionCodeDescription": "No maintenance for this code",
      "Status": "Actual",
      "LastUpdate": "2026"
    },
    {
      "HCPC": "A9568",
      "LongDescription": "Technetium tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicuries",
      "ShortDescription": "Technetium tc99m arcitumomab",
      "PI1": "53",
      "PricingIndicatorCode1": "Statute",
      "MPI": "A",
      "MultiplePricingIndicatorCode": "Not applicable as HCPCS priced under one methodology",
      "Coverage": "C",
      "CoverageDescription": "Carrier judgment",
      "ASCPayGrp": "YY",
      "ASCPayGrpEffDate": "20250101",
      "BETOS": "I1E",
      "BETOSDescription": "Standard imaging - nuclear medicine",
      "TOS1": "4",
      "TypeOfServiceCode1": "Diagnostic radiology",
      "AnestBaseUnits": "0",
      "CodeAddDate": "20070101",
      "ActionEffDate": "20250101",
      "ActionCode": "N",
      "ActionCodeDescription": "No maintenance for this code",
      "Status": "Actual",
      "LastUpdate": "2026"
    },
    {
      "HCPC": "A9569",
      "LongDescription": "Technetium tc-99m exametazime labeled autologous white blood cells, diagnostic, per study dose",
      "ShortDescription": "Technetium tc-99m auto wbc",
      "PI1": "57",
      "PricingIndicatorCode1": "Other carrier priced",
      "MPI": "A",
      "MultiplePricingIndicatorCode": "Not applicable as HCPCS priced under one methodology",
      "Coverage": "C",
      "CoverageDescription": "Carrier judgment",
      "ASCPayGrp": "YY",
      "ASCPayGrpEffDate": "20250101",
      "BETOS": "I1E",
      "BETOSDescription": "Standard imaging - nuclear medicine",
      "TOS1": "4",
      "TypeOfServiceCode1": "Diagnostic radiology",
      "AnestBaseUnits": "0",
      "CodeAddDate": "20080101",
      "ActionEffDate": "20250101",
      "ActionCode": "N",
      "ActionCodeDescription": "No maintenance for this code",
      "Status": "Actual",
      "LastUpdate": "2026"
    },
    {
      "HCPC": "C1204",
      "LongDescription": "Technetium tc 99m tilmanocept, diagnostic, up to 0.5 millicuries",
      "ShortDescription": "Tc 99m tilmanocept",
      "PI1": "53",
      "PricingIndicatorCode1": "Statute",
      "MPI": "A",
      "MultiplePricingIndicatorCode": "Not applicable as HCPCS priced under one methodology",
      "Statute": "1833(t)",
      "XRef1": "A9520",
      "Coverage": "D",
      "CoverageDescription": "Special coverage instructions apply",
      "BETOS": "I1E",
      "BETOSDescription": "Standard imaging - nuclear medicine",
      "TOS1": "4",
      "TypeOfServiceCode1": "Diagnostic radiology",
      "TOS2": "F",
      "TypeOfServiceCode2": "Ambulatory surgical center (facility usage for surgical services)",
      "AnestBaseUnits": "0",
      "CodeAddDate": "20131001",
      "ActionEffDate": "20140101",
      "TermDate": "20131231",
      "ActionCode": "N",
      "ActionCodeDescription": "No maintenance for this code",
      "Status": "Discontinued",
      "LastUpdate": "2017"
    },
    {
      "HCPC": "C9176",
      "LongDescription": "Tc-99m from domestically produced non-heu mo-99, [minimum 50 percent], full cost recovery add-on, per study dose",
      "ShortDescription": "Dom nonheu tc99m add-on/dose",
      "PI1": "53",
      "PricingIndicatorCode1": "Statute",
      "MPI": "A",
      "MultiplePricingIndicatorCode": "Not applicable as HCPCS priced under one methodology",
      "Statute": "1833(t)",
      "Coverage": "D",
      "CoverageDescription": "Special coverage instructions apply",
      "ASCPayGrp": "YY",
      "ASCPayGrpEffDate": "20260101",
      "BETOS": "Y1",
      "BETOSDescription": "Other - Medicare fee schedule",
      "TOS1": "9",
      "TypeOfServiceCode1": "Other medical items or services",
      "AnestBaseUnits": "0",
      "CodeAddDate": "20260101",
      "ActionEffDate": "20260101",
      "ActionCode": "N",
      "ActionCodeDescription": "No maintenance for this code",
      "Status": "Actual",
      "LastUpdate": "2026"
    },
    {
      "HCPC": "Q9969",
      "LongDescription": "Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose",
      "ShortDescription": "Non-heu tc-99m add-on/dose",
      "PI1": "53",
      "PricingIndicatorCode1": "Statute",
      "MPI": "A",
      "MultiplePricingIndicatorCode": "Not applicable as HCPCS priced under one methodology",
      "Coverage": "D",
      "CoverageDescription": "Special coverage instructions apply",
      "ProcNote": "0179",
      "BETOS": "Y1",
      "BETOSDescription": "Other - Medicare fee schedule",
      "TOS1": "9",
      "TypeOfServiceCode1": "Other medical items or services",
      "AnestBaseUnits": "0",
      "CodeAddDate": "20130101",
      "ActionEffDate": "20260101",
      "TermDate": "20251231",
      "ActionCode": "N",
      "ActionCodeDescription": "No maintenance for this code",
      "Status": "Actual",
      "LastUpdate": "2026"
    },
    {
      "HCPC": "TC",
      "LongDescription": "Technical component; under certain circumstances, a charge may be made for the technical component alone;  under those circumstances the technical component charge is identified by adding modifier 'tc' to the usual procedure number; technical component charges are institutional charges and not billed separately by physicians; however, portable x-ray suppliers only bill for technical component and should utilize modifier tc; the charge data from portable x-ray suppliers will then be used to build customary and prevailing profiles",
      "ShortDescription": "Technical component",
      "Coverage": "C",
      "CoverageDescription": "Carrier judgment",
      "CodeAddDate": "19840101",
      "ActionEffDate": "19970101",
      "ActionCode": "N",
      "ActionCodeDescription": "No maintenance for this code",
      "Status": "Actual",
      "LastUpdate": "2026"
    }
  ]
}
                    
{"HCPCS":[{"HCPC":"A9500","ShortDescription":"Tc99m sestamibi","LongDescription":"Technetium tc-99m sestamibi, diagnostic, per study dose"},{"HCPC":"A9501","ShortDescription":"Technetium tc-99m teboroxime","LongDescription":"Technetium tc-99m teboroxime, diagnostic, per study dose"},{"HCPC":"A9502","ShortDescription":"Tc99m tetrofosmin","LongDescription":"Technetium tc-99m tetrofosmin, diagnostic, per study dose"},{"HCPC":"A9503","ShortDescription":"Tc99m medronate","LongDescription":"Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries"},{"HCPC":"A9504","ShortDescription":"Tc99m apcitide","LongDescription":"Technetium tc-99m apcitide, diagnostic, per study dose, up to 20 millicuries"},{"HCPC":"A9506","ShortDescription":"Tc-99m graphite crucible","LongDescription":"Graphite crucible for preparation of technetium tc 99m-labeled carbon aerosol, one crucible"},{"HCPC":"A9510","ShortDescription":"Tc99m disofenin","LongDescription":"Technetium tc-99m disofenin, diagnostic, per study dose, up to 15 millicuries"},{"HCPC":"A9512","ShortDescription":"Tc99m pertechnetate","LongDescription":"Technetium tc-99m pertechnetate, diagnostic, per millicurie"},{"HCPC":"A9520","ShortDescription":"Tc99 tilmanocept diag 0.5mci","LongDescription":"Technetium tc-99m tilmanocept, diagnostic, up to 0.5 millicuries"},{"HCPC":"A9521","ShortDescription":"Tc99m exametazime","LongDescription":"Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries"},{"HCPC":"A9536","ShortDescription":"Tc99m depreotide","LongDescription":"Technetium tc-99m depreotide, diagnostic, per study dose, up to 35 millicuries"},{"HCPC":"A9537","ShortDescription":"Tc99m mebrofenin","LongDescription":"Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries"},{"HCPC":"A9538","ShortDescription":"Tc99m pyrophosphate","LongDescription":"Technetium tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries"},{"HCPC":"A9539","ShortDescription":"Tc99m pentetate","LongDescription":"Technetium tc-99m pentetate, diagnostic, per study dose, up to 25 millicuries"},{"HCPC":"A9540","ShortDescription":"Tc99m maa","LongDescription":"Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries"},{"HCPC":"A9541","ShortDescription":"Tc99m sulfur colloid","LongDescription":"Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries"},{"HCPC":"A9550","ShortDescription":"Tc99m gluceptate","LongDescription":"Technetium tc-99m sodium gluceptate, diagnostic, per study dose, up to 25 millicurie"},{"HCPC":"A9551","ShortDescription":"Tc99m succimer","LongDescription":"Technetium tc-99m succimer, diagnostic, per study dose, up to 10 millicuries"},{"HCPC":"A9557","ShortDescription":"Tc99m bicisate","LongDescription":"Technetium tc-99m bicisate, diagnostic, per study dose, up to 25 millicuries"},{"HCPC":"A9560","ShortDescription":"Tc99m labeled rbc","LongDescription":"Technetium tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries"},{"HCPC":"A9561","ShortDescription":"Tc99m oxidronate","LongDescription":"Technetium tc-99m oxidronate, diagnostic, per study dose, up to 30 millicuries"},{"HCPC":"A9562","ShortDescription":"Tc99m mertiatide","LongDescription":"Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries"},{"HCPC":"A9566","ShortDescription":"Tc99m fanolesomab","LongDescription":"Technetium tc-99m fanolesomab, diagnostic, per study dose, up to 25 millicuries"},{"HCPC":"A9567","ShortDescription":"Technetium tc-99m aerosol","LongDescription":"Technetium tc-99m pentetate, diagnostic, aerosol, per study dose, up to 75 millicuries"},{"HCPC":"A9568","ShortDescription":"Technetium tc99m arcitumomab","LongDescription":"Technetium tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicuries"},{"HCPC":"A9569","ShortDescription":"Technetium tc-99m auto wbc","LongDescription":"Technetium tc-99m exametazime labeled autologous white blood cells, diagnostic, per study dose"},{"HCPC":"C1204","ShortDescription":"Tc 99m tilmanocept","LongDescription":"Technetium tc 99m tilmanocept, diagnostic, up to 0.5 millicuries"},{"HCPC":"C9176","ShortDescription":"Dom nonheu tc99m add-on/dose","LongDescription":"Tc-99m from domestically produced non-heu mo-99, [minimum 50 percent], full cost recovery add-on, per study dose"},{"HCPC":"Q9969","ShortDescription":"Non-heu tc-99m add-on/dose","LongDescription":"Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose"},{"HCPC":"TC","ShortDescription":"Technical component","LongDescription":"Technical component; under certain circumstances, a charge may be made for the technical component alone;  under those circumstances the technical component charge is identified by adding modifier 'tc' to the usual procedure number; technical component charges are institutional charges and not billed separately by physicians; however, portable x-ray suppliers only bill for technical component and should utilize modifier tc; the charge data from portable x-ray suppliers will then be used to build customary and prevailing profiles"}]}
                    
<?xml version="1.0" encoding="utf-8"?>
<HCPCSList>
  <HCPCS>
    <HCPC>A9500</HCPC>
    <LongDescription>Technetium tc-99m sestamibi, diagnostic, per study dose</LongDescription>
    <ShortDescription>Tc99m sestamibi</ShortDescription>
    <PI1>57</PI1>
    <PricingIndicatorCode1>Other carrier priced</PricingIndicatorCode1>
    <MPI>A</MPI>
    <MultiplePricingIndicatorCode>Not applicable as HCPCS priced under one methodology</MultiplePricingIndicatorCode>
    <Coverage>C</Coverage>
    <CoverageDescription>Carrier judgment</CoverageDescription>
    <BETOS>I1E</BETOS>
    <BETOSDescription>Standard imaging - nuclear medicine</BETOSDescription>
    <TOS1>4</TOS1>
    <TypeOfServiceCode1>Diagnostic radiology</TypeOfServiceCode1>
    <AnestBaseUnits>0</AnestBaseUnits>
    <CodeAddDate>19960101</CodeAddDate>
    <ActionEffDate>20100101</ActionEffDate>
    <ActionCode>N</ActionCode>
    <ActionCodeDescription>No maintenance for this code</ActionCodeDescription>
    <Status>Actual</Status>
    <LastUpdate>2026</LastUpdate>
  </HCPCS>
  <HCPCS>
    <HCPC>A9501</HCPC>
    <LongDescription>Technetium tc-99m teboroxime, diagnostic, per study dose</LongDescription>
    <ShortDescription>Technetium tc-99m teboroxime</ShortDescription>
    <PI1>57</PI1>
    <PricingIndicatorCode1>Other carrier priced</PricingIndicatorCode1>
    <MPI>A</MPI>
    <MultiplePricingIndicatorCode>Not applicable as HCPCS priced under one methodology</MultiplePricingIndicatorCode>
    <Coverage>C</Coverage>
    <CoverageDescription>Carrier judgment</CoverageDescription>
    <BETOS>I1E</BETOS>
    <BETOSDescription>Standard imaging - nuclear medicine</BETOSDescription>
    <TOS1>4</TOS1>
    <TypeOfServiceCode1>Diagnostic radiology</TypeOfServiceCode1>
    <AnestBaseUnits>0</AnestBaseUnits>
    <CodeAddDate>20080101</CodeAddDate>
    <ActionEffDate>20080101</ActionEffDate>
    <ActionCode>N</ActionCode>
    <ActionCodeDescription>No maintenance for this code</ActionCodeDescription>
    <Status>Actual</Status>
    <LastUpdate>2026</LastUpdate>
  </HCPCS>
  <HCPCS>
    <HCPC>A9502</HCPC>
    <LongDescription>Technetium tc-99m tetrofosmin, diagnostic, per study dose</LongDescription>
    <ShortDescription>Tc99m tetrofosmin</ShortDescription>
    <PI1>57</PI1>
    <PricingIndicatorCode1>Other carrier priced</PricingIndicatorCode1>
    <MPI>A</MPI>
    <MultiplePricingIndicatorCode>Not applicable as HCPCS priced under one methodology</MultiplePricingIndicatorCode>
    <Coverage>C</Coverage>
    <CoverageDescription>Carrier judgment</CoverageDescription>
    <BETOS>I1E</BETOS>
    <BETOSDescription>Standard imaging - nuclear medicine</BETOSDescription>
    <TOS1>4</TOS1>
    <TypeOfServiceCode1>Diagnostic radiology</TypeOfServiceCode1>
    <AnestBaseUnits>0</AnestBaseUnits>
    <CodeAddDate>19980101</CodeAddDate>
    <ActionEffDate>20090101</ActionEffDate>
    <ActionCode>N</ActionCode>
    <ActionCodeDescription>No maintenance for this code</ActionCodeDescription>
    <Status>Actual</Status>
    <LastUpdate>2026</LastUpdate>
  </HCPCS>
  <HCPCS>
    <HCPC>A9503</HCPC>
    <LongDescription>Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries</LongDescription>
    <ShortDescription>Tc99m medronate</ShortDescription>
    <PI1>57</PI1>
    <PricingIndicatorCode1>Other carrier priced</PricingIndicatorCode1>
    <MPI>A</MPI>
    <MultiplePricingIndicatorCode>Not applicable as HCPCS priced under one methodology</MultiplePricingIndicatorCode>
    <Coverage>C</Coverage>
    <CoverageDescription>Carrier judgment</CoverageDescription>
    <BETOS>I1E</BETOS>
    <BETOSDescription>Standard imaging - nuclear medicine</BETOSDescription>
    <TOS1>4</TOS1>
    <TypeOfServiceCode1>Diagnostic radiology</TypeOfServiceCode1>
    <AnestBaseUnits>0</AnestBaseUnits>
    <CodeAddDate>19970101</CodeAddDate>
    <ActionEffDate>20060101</ActionEffDate>
    <ActionCode>N</ActionCode>
    <ActionCodeDescription>No maintenance for this code</ActionCodeDescription>
    <Status>Actual</Status>
    <LastUpdate>2026</LastUpdate>
  </HCPCS>
  <HCPCS>
    <HCPC>A9504</HCPC>
    <LongDescription>Technetium tc-99m apcitide, diagnostic, per study dose, up to 20 millicuries</LongDescription>
    <ShortDescription>Tc99m apcitide</ShortDescription>
    <PI1>57</PI1>
    <PricingIndicatorCode1>Other carrier priced</PricingIndicatorCode1>
    <MPI>A</MPI>
    <MultiplePricingIndicatorCode>Not applicable as HCPCS priced under one methodology</MultiplePricingIndicatorCode>
    <Coverage>C</Coverage>
    <CoverageDescription>Carrier judgment</CoverageDescription>
    <BETOS>I1E</BETOS>
    <BETOSDescription>Standard imaging - nuclear medicine</BETOSDescription>
    <TOS1>4</TOS1>
    <TypeOfServiceCode1>Diagnostic radiology</TypeOfServiceCode1>
    <AnestBaseUnits>0</AnestBaseUnits>
    <CodeAddDate>20000101</CodeAddDate>
    <ActionEffDate>20060101</ActionEffDate>
    <ActionCode>N</ActionCode>
    <ActionCodeDescription>No maintenance for this code</ActionCodeDescription>
    <Status>Actual</Status>
    <LastUpdate>2026</LastUpdate>
  </HCPCS>
  <HCPCS>
    <HCPC>A9506</HCPC>
    <LongDescription>Graphite crucible for preparation of technetium tc 99m-labeled carbon aerosol, one crucible</LongDescription>
    <ShortDescription>Tc-99m graphite crucible</ShortDescription>
    <PI1>99</PI1>
    <PricingIndicatorCode1>Value not established</PricingIndicatorCode1>
    <MPI>9</MPI>
    <MultiplePricingIndicatorCode>Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99')</MultiplePricingIndicatorCode>
    <Coverage>C</Coverage>
    <CoverageDescription>Carrier judgment</CoverageDescription>
    <ASCPayGrp>YY</ASCPayGrp>
    <ASCPayGrpEffDate>20240701</ASCPayGrpEffDate>
    <BETOS>Z2</BETOS>
    <BETOSDescription>Undefined codes</BETOSDescription>
    <TOS1>9</TOS1>
    <TypeOfServiceCode1>Other medical items or services</TypeOfServiceCode1>
    <AnestBaseUnits>0</AnestBaseUnits>
    <CodeAddDate>20240701</CodeAddDate>
    <ActionEffDate>20240701</ActionEffDate>
    <ActionCode>N</ActionCode>
    <ActionCodeDescription>No maintenance for this code</ActionCodeDescription>
    <Status>Actual</Status>
    <LastUpdate>2026</LastUpdate>
  </HCPCS>
  <HCPCS>
    <HCPC>A9510</HCPC>
    <LongDescription>Technetium tc-99m disofenin, diagnostic, per study dose, up to 15 millicuries</LongDescription>
    <ShortDescription>Tc99m disofenin</ShortDescription>
    <PI1>51</PI1>
    <PricingIndicatorCode1>Drugs</PricingIndicatorCode1>
    <MPI>A</MPI>
    <MultiplePricingIndicatorCode>Not applicable as HCPCS priced under one methodology</MultiplePricingIndicatorCode>
    <Coverage>C</Coverage>
    <CoverageDescription>Carrier judgment</CoverageDescription>
    <BETOS>I1E</BETOS>
    <BETOSDescription>Standard imaging - nuclear medicine</BETOSDescription>
    <TOS1>4</TOS1>
    <TypeOfServiceCode1>Diagnostic radiology</TypeOfServiceCode1>
    <AnestBaseUnits>0</AnestBaseUnits>
    <CodeAddDate>20010101</CodeAddDate>
    <ActionEffDate>20060101</ActionEffDate>
    <ActionCode>N</ActionCode>
    <ActionCodeDescription>No maintenance for this code</ActionCodeDescription>
    <Status>Actual</Status>
    <LastUpdate>2026</LastUpdate>
  </HCPCS>
  <HCPCS>
    <HCPC>A9512</HCPC>
    <LongDescription>Technetium tc-99m pertechnetate, diagnostic, per millicurie</LongDescription>
    <ShortDescription>Tc99m pertechnetate</ShortDescription>
    <PI1>57</PI1>
    <PricingIndicatorCode1>Other carrier priced</PricingIndicatorCode1>
    <MPI>A</MPI>
    <MultiplePricingIndicatorCode>Not applicable as HCPCS priced under one methodology</MultiplePricingIndicatorCode>
    <Coverage>C</Coverage>
    <CoverageDescription>Carrier judgment</CoverageDescription>
    <BETOS>I1E</BETOS>
    <BETOSDescription>Standard imaging - nuclear medicine</BETOSDescription>
    <TOS1>4</TOS1>
    <TypeOfServiceCode1>Diagnostic radiology</TypeOfServiceCode1>
    <AnestBaseUnits>0</AnestBaseUnits>
    <CodeAddDate>20030101</CodeAddDate>
    <ActionEffDate>20060101</ActionEffDate>
    <ActionCode>N</ActionCode>
    <ActionCodeDescription>No maintenance for this code</ActionCodeDescription>
    <Status>Actual</Status>
    <LastUpdate>2026</LastUpdate>
  </HCPCS>
  <HCPCS>
    <HCPC>A9520</HCPC>
    <LongDescription>Technetium tc-99m tilmanocept, diagnostic, up to 0.5 millicuries</LongDescription>
    <ShortDescription>Tc99 tilmanocept diag 0.5mci</ShortDescription>
    <PI1>57</PI1>
    <PricingIndicatorCode1>Other carrier priced</PricingIndicatorCode1>
    <MPI>A</MPI>
    <MultiplePricingIndicatorCode>Not applicable as HCPCS priced under one methodology</MultiplePricingIndicatorCode>
    <Coverage>C</Coverage>
    <CoverageDescription>Carrier judgment</CoverageDescription>
    <BETOS>I1E</BETOS>
    <BETOSDescription>Standard imaging - nuclear medicine</BETOSDescription>
    <TOS1>4</TOS1>
    <TypeOfServiceCode1>Diagnostic radiology</TypeOfServiceCode1>
    <AnestBaseUnits>0</AnestBaseUnits>
    <CodeAddDate>20140101</CodeAddDate>
    <ActionEffDate>20160101</ActionEffDate>
    <ActionCode>N</ActionCode>
    <ActionCodeDescription>No maintenance for this code</ActionCodeDescription>
    <Status>Actual</Status>
    <LastUpdate>2026</LastUpdate>
  </HCPCS>
  <HCPCS>
    <HCPC>A9521</HCPC>
    <LongDescription>Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries</LongDescription>
    <ShortDescription>Tc99m exametazime</ShortDescription>
    <PI1>57</PI1>
    <PricingIndicatorCode1>Other carrier priced</PricingIndicatorCode1>
    <MPI>A</MPI>
    <MultiplePricingIndicatorCode>Not applicable as HCPCS priced under one methodology</MultiplePricingIndicatorCode>
    <Coverage>C</Coverage>
    <CoverageDescription>Carrier judgment</CoverageDescription>
    <ASCPayGrp>YY</ASCPayGrp>
    <ASCPayGrpEffDate>20250101</ASCPayGrpEffDate>
    <BETOS>I1E</BETOS>
    <BETOSDescription>Standard imaging - nuclear medicine</BETOSDescription>
    <TOS1>4</TOS1>
    <TypeOfServiceCode1>Diagnostic radiology</TypeOfServiceCode1>
    <AnestBaseUnits>0</AnestBaseUnits>
    <CodeAddDate>20030101</CodeAddDate>
    <ActionEffDate>20250101</ActionEffDate>
    <ActionCode>N</ActionCode>
    <ActionCodeDescription>No maintenance for this code</ActionCodeDescription>
    <Status>Actual</Status>
    <LastUpdate>2026</LastUpdate>
  </HCPCS>
  <HCPCS>
    <HCPC>A9536</HCPC>
    <LongDescription>Technetium tc-99m depreotide, diagnostic, per study dose, up to 35 millicuries</LongDescription>
    <ShortDescription>Tc99m depreotide</ShortDescription>
    <PI1>57</PI1>
    <PricingIndicatorCode1>Other carrier priced</PricingIndicatorCode1>
    <MPI>A</MPI>
    <MultiplePricingIndicatorCode>Not applicable as HCPCS priced under one methodology</MultiplePricingIndicatorCode>
    <Coverage>C</Coverage>
    <CoverageDescription>Carrier judgment</CoverageDescription>
    <BETOS>I1E</BETOS>
    <BETOSDescription>Standard imaging - nuclear medicine</BETOSDescription>
    <TOS1>4</TOS1>
    <TypeOfServiceCode1>Diagnostic radiology</TypeOfServiceCode1>
    <AnestBaseUnits>0</AnestBaseUnits>
    <CodeAddDate>20060101</CodeAddDate>
    <ActionEffDate>20060101</ActionEffDate>
    <ActionCode>N</ActionCode>
    <ActionCodeDescription>No maintenance for this code</ActionCodeDescription>
    <Status>Actual</Status>
    <LastUpdate>2026</LastUpdate>
  </HCPCS>
  <HCPCS>
    <HCPC>A9537</HCPC>
    <LongDescription>Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries</LongDescription>
    <ShortDescription>Tc99m mebrofenin</ShortDescription>
    <PI1>57</PI1>
    <PricingIndicatorCode1>Other carrier priced</PricingIndicatorCode1>
    <MPI>A</MPI>
    <MultiplePricingIndicatorCode>Not applicable as HCPCS priced under one methodology</MultiplePricingIndicatorCode>
    <Coverage>C</Coverage>
    <CoverageDescription>Carrier judgment</CoverageDescription>
    <BETOS>I1E</BETOS>
    <BETOSDescription>Standard imaging - nuclear medicine</BETOSDescription>
    <TOS1>4</TOS1>
    <TypeOfServiceCode1>Diagnostic radiology</TypeOfServiceCode1>
    <AnestBaseUnits>0</AnestBaseUnits>
    <CodeAddDate>20060101</CodeAddDate>
    <ActionEffDate>20060101</ActionEffDate>
    <ActionCode>N</ActionCode>
    <ActionCodeDescription>No maintenance for this code</ActionCodeDescription>
    <Status>Actual</Status>
    <LastUpdate>2026</LastUpdate>
  </HCPCS>
  <HCPCS>
    <HCPC>A9538</HCPC>
    <LongDescription>Technetium tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries</LongDescription>
    <ShortDescription>Tc99m pyrophosphate</ShortDescription>
    <PI1>57</PI1>
    <PricingIndicatorCode1>Other carrier priced</PricingIndicatorCode1>
    <MPI>A</MPI>
    <MultiplePricingIndicatorCode>Not applicable as HCPCS priced under one methodology</MultiplePricingIndicatorCode>
    <Coverage>C</Coverage>
    <CoverageDescription>Carrier judgment</CoverageDescription>
    <BETOS>I1E</BETOS>
    <BETOSDescription>Standard imaging - nuclear medicine</BETOSDescription>
    <TOS1>4</TOS1>
    <TypeOfServiceCode1>Diagnostic radiology</TypeOfServiceCode1>
    <AnestBaseUnits>0</AnestBaseUnits>
    <CodeAddDate>20060101</CodeAddDate>
    <ActionEffDate>20060101</ActionEffDate>
    <ActionCode>N</ActionCode>
    <ActionCodeDescription>No maintenance for this code</ActionCodeDescription>
    <Status>Actual</Status>
    <LastUpdate>2026</LastUpdate>
  </HCPCS>
  <HCPCS>
    <HCPC>A9539</HCPC>
    <LongDescription>Technetium tc-99m pentetate, diagnostic, per study dose, up to 25 millicuries</LongDescription>
    <ShortDescription>Tc99m pentetate</ShortDescription>
    <PI1>57</PI1>
    <PricingIndicatorCode1>Other carrier priced</PricingIndicatorCode1>
    <MPI>A</MPI>
    <MultiplePricingIndicatorCode>Not applicable as HCPCS priced under one methodology</MultiplePricingIndicatorCode>
    <Coverage>C</Coverage>
    <CoverageDescription>Carrier judgment</CoverageDescription>
    <BETOS>I1E</BETOS>
    <BETOSDescription>Standard imaging - nuclear medicine</BETOSDescription>
    <TOS1>4</TOS1>
    <TypeOfServiceCode1>Diagnostic radiology</TypeOfServiceCode1>
    <AnestBaseUnits>0</AnestBaseUnits>
    <CodeAddDate>20060101</CodeAddDate>
    <ActionEffDate>20060101</ActionEffDate>
    <ActionCode>N</ActionCode>
    <ActionCodeDescription>No maintenance for this code</ActionCodeDescription>
    <Status>Actual</Status>
    <LastUpdate>2026</LastUpdate>
  </HCPCS>
  <HCPCS>
    <HCPC>A9540</HCPC>
    <LongDescription>Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries</LongDescription>
    <ShortDescription>Tc99m maa</ShortDescription>
    <PI1>57</PI1>
    <PricingIndicatorCode1>Other carrier priced</PricingIndicatorCode1>
    <MPI>A</MPI>
    <MultiplePricingIndicatorCode>Not applicable as HCPCS priced under one methodology</MultiplePricingIndicatorCode>
    <Coverage>C</Coverage>
    <CoverageDescription>Carrier judgment</CoverageDescription>
    <BETOS>I1E</BETOS>
    <BETOSDescription>Standard imaging - nuclear medicine</BETOSDescription>
    <TOS1>4</TOS1>
    <TypeOfServiceCode1>Diagnostic radiology</TypeOfServiceCode1>
    <AnestBaseUnits>0</AnestBaseUnits>
    <CodeAddDate>20060101</CodeAddDate>
    <ActionEffDate>20060101</ActionEffDate>
    <ActionCode>N</ActionCode>
    <ActionCodeDescription>No maintenance for this code</ActionCodeDescription>
    <Status>Actual</Status>
    <LastUpdate>2026</LastUpdate>
  </HCPCS>
  <HCPCS>
    <HCPC>A9541</HCPC>
    <LongDescription>Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries</LongDescription>
    <ShortDescription>Tc99m sulfur colloid</ShortDescription>
    <PI1>57</PI1>
    <PricingIndicatorCode1>Other carrier priced</PricingIndicatorCode1>
    <MPI>A</MPI>
    <MultiplePricingIndicatorCode>Not applicable as HCPCS priced under one methodology</MultiplePricingIndicatorCode>
    <Coverage>C</Coverage>
    <CoverageDescription>Carrier judgment</CoverageDescription>
    <BETOS>I1E</BETOS>
    <BETOSDescription>Standard imaging - nuclear medicine</BETOSDescription>
    <TOS1>4</TOS1>
    <TypeOfServiceCode1>Diagnostic radiology</TypeOfServiceCode1>
    <AnestBaseUnits>0</AnestBaseUnits>
    <CodeAddDate>20060101</CodeAddDate>
    <ActionEffDate>20060101</ActionEffDate>
    <ActionCode>N</ActionCode>
    <ActionCodeDescription>No maintenance for this code</ActionCodeDescription>
    <Status>Actual</Status>
    <LastUpdate>2026</LastUpdate>
  </HCPCS>
  <HCPCS>
    <HCPC>A9550</HCPC>
    <LongDescription>Technetium tc-99m sodium gluceptate, diagnostic, per study dose, up to 25 millicurie</LongDescription>
    <ShortDescription>Tc99m gluceptate</ShortDescription>
    <PI1>53</PI1>
    <PricingIndicatorCode1>Statute</PricingIndicatorCode1>
    <MPI>A</MPI>
    <MultiplePricingIndicatorCode>Not applicable as HCPCS priced under one methodology</MultiplePricingIndicatorCode>
    <Coverage>C</Coverage>
    <CoverageDescription>Carrier judgment</CoverageDescription>
    <BETOS>I1E</BETOS>
    <BETOSDescription>Standard imaging - nuclear medicine</BETOSDescription>
    <TOS1>4</TOS1>
    <TypeOfServiceCode1>Diagnostic radiology</TypeOfServiceCode1>
    <AnestBaseUnits>0</AnestBaseUnits>
    <CodeAddDate>20060101</CodeAddDate>
    <ActionEffDate>20060101</ActionEffDate>
    <ActionCode>N</ActionCode>
    <ActionCodeDescription>No maintenance for this code</ActionCodeDescription>
    <Status>Actual</Status>
    <LastUpdate>2026</LastUpdate>
  </HCPCS>
  <HCPCS>
    <HCPC>A9551</HCPC>
    <LongDescription>Technetium tc-99m succimer, diagnostic, per study dose, up to 10 millicuries</LongDescription>
    <ShortDescription>Tc99m succimer</ShortDescription>
    <PI1>53</PI1>
    <PricingIndicatorCode1>Statute</PricingIndicatorCode1>
    <MPI>A</MPI>
    <MultiplePricingIndicatorCode>Not applicable as HCPCS priced under one methodology</MultiplePricingIndicatorCode>
    <Coverage>C</Coverage>
    <CoverageDescription>Carrier judgment</CoverageDescription>
    <BETOS>I1E</BETOS>
    <BETOSDescription>Standard imaging - nuclear medicine</BETOSDescription>
    <TOS1>4</TOS1>
    <TypeOfServiceCode1>Diagnostic radiology</TypeOfServiceCode1>
    <AnestBaseUnits>0</AnestBaseUnits>
    <CodeAddDate>20060101</CodeAddDate>
    <ActionEffDate>20060101</ActionEffDate>
    <ActionCode>N</ActionCode>
    <ActionCodeDescription>No maintenance for this code</ActionCodeDescription>
    <Status>Actual</Status>
    <LastUpdate>2026</LastUpdate>
  </HCPCS>
  <HCPCS>
    <HCPC>A9557</HCPC>
    <LongDescription>Technetium tc-99m bicisate, diagnostic, per study dose, up to 25 millicuries</LongDescription>
    <ShortDescription>Tc99m bicisate</ShortDescription>
    <PI1>57</PI1>
    <PricingIndicatorCode1>Other carrier priced</PricingIndicatorCode1>
    <MPI>A</MPI>
    <MultiplePricingIndicatorCode>Not applicable as HCPCS priced under one methodology</MultiplePricingIndicatorCode>
    <Coverage>C</Coverage>
    <CoverageDescription>Carrier judgment</CoverageDescription>
    <ASCPayGrp>YY</ASCPayGrp>
    <ASCPayGrpEffDate>20250101</ASCPayGrpEffDate>
    <BETOS>I1E</BETOS>
    <BETOSDescription>Standard imaging - nuclear medicine</BETOSDescription>
    <TOS1>4</TOS1>
    <TypeOfServiceCode1>Diagnostic radiology</TypeOfServiceCode1>
    <AnestBaseUnits>0</AnestBaseUnits>
    <CodeAddDate>20060101</CodeAddDate>
    <ActionEffDate>20250101</ActionEffDate>
    <ActionCode>N</ActionCode>
    <ActionCodeDescription>No maintenance for this code</ActionCodeDescription>
    <Status>Actual</Status>
    <LastUpdate>2026</LastUpdate>
  </HCPCS>
  <HCPCS>
    <HCPC>A9560</HCPC>
    <LongDescription>Technetium tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries</LongDescription>
    <ShortDescription>Tc99m labeled rbc</ShortDescription>
    <PI1>57</PI1>
    <PricingIndicatorCode1>Other carrier priced</PricingIndicatorCode1>
    <MPI>A</MPI>
    <MultiplePricingIndicatorCode>Not applicable as HCPCS priced under one methodology</MultiplePricingIndicatorCode>
    <Coverage>C</Coverage>
    <CoverageDescription>Carrier judgment</CoverageDescription>
    <BETOS>I1E</BETOS>
    <BETOSDescription>Standard imaging - nuclear medicine</BETOSDescription>
    <TOS1>4</TOS1>
    <TypeOfServiceCode1>Diagnostic radiology</TypeOfServiceCode1>
    <AnestBaseUnits>0</AnestBaseUnits>
    <CodeAddDate>20060101</CodeAddDate>
    <ActionEffDate>20060101</ActionEffDate>
    <ActionCode>N</ActionCode>
    <ActionCodeDescription>No maintenance for this code</ActionCodeDescription>
    <Status>Actual</Status>
    <LastUpdate>2026</LastUpdate>
  </HCPCS>
  <HCPCS>
    <HCPC>A9561</HCPC>
    <LongDescription>Technetium tc-99m oxidronate, diagnostic, per study dose, up to 30 millicuries</LongDescription>
    <ShortDescription>Tc99m oxidronate</ShortDescription>
    <PI1>57</PI1>
    <PricingIndicatorCode1>Other carrier priced</PricingIndicatorCode1>
    <MPI>A</MPI>
    <MultiplePricingIndicatorCode>Not applicable as HCPCS priced under one methodology</MultiplePricingIndicatorCode>
    <Coverage>C</Coverage>
    <CoverageDescription>Carrier judgment</CoverageDescription>
    <BETOS>I1E</BETOS>
    <BETOSDescription>Standard imaging - nuclear medicine</BETOSDescription>
    <TOS1>4</TOS1>
    <TypeOfServiceCode1>Diagnostic radiology</TypeOfServiceCode1>
    <AnestBaseUnits>0</AnestBaseUnits>
    <CodeAddDate>20060101</CodeAddDate>
    <ActionEffDate>20060101</ActionEffDate>
    <ActionCode>N</ActionCode>
    <ActionCodeDescription>No maintenance for this code</ActionCodeDescription>
    <Status>Actual</Status>
    <LastUpdate>2026</LastUpdate>
  </HCPCS>
  <HCPCS>
    <HCPC>A9562</HCPC>
    <LongDescription>Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries</LongDescription>
    <ShortDescription>Tc99m mertiatide</ShortDescription>
    <PI1>57</PI1>
    <PricingIndicatorCode1>Other carrier priced</PricingIndicatorCode1>
    <MPI>A</MPI>
    <MultiplePricingIndicatorCode>Not applicable as HCPCS priced under one methodology</MultiplePricingIndicatorCode>
    <Coverage>C</Coverage>
    <CoverageDescription>Carrier judgment</CoverageDescription>
    <BETOS>I1E</BETOS>
    <BETOSDescription>Standard imaging - nuclear medicine</BETOSDescription>
    <TOS1>4</TOS1>
    <TypeOfServiceCode1>Diagnostic radiology</TypeOfServiceCode1>
    <AnestBaseUnits>0</AnestBaseUnits>
    <CodeAddDate>20060101</CodeAddDate>
    <ActionEffDate>20060101</ActionEffDate>
    <ActionCode>N</ActionCode>
    <ActionCodeDescription>No maintenance for this code</ActionCodeDescription>
    <Status>Actual</Status>
    <LastUpdate>2026</LastUpdate>
  </HCPCS>
  <HCPCS>
    <HCPC>A9566</HCPC>
    <LongDescription>Technetium tc-99m fanolesomab, diagnostic, per study dose, up to 25 millicuries</LongDescription>
    <ShortDescription>Tc99m fanolesomab</ShortDescription>
    <PI1>57</PI1>
    <PricingIndicatorCode1>Other carrier priced</PricingIndicatorCode1>
    <MPI>A</MPI>
    <MultiplePricingIndicatorCode>Not applicable as HCPCS priced under one methodology</MultiplePricingIndicatorCode>
    <Coverage>C</Coverage>
    <CoverageDescription>Carrier judgment</CoverageDescription>
    <BETOS>I1E</BETOS>
    <BETOSDescription>Standard imaging - nuclear medicine</BETOSDescription>
    <TOS1>4</TOS1>
    <TypeOfServiceCode1>Diagnostic radiology</TypeOfServiceCode1>
    <AnestBaseUnits>0</AnestBaseUnits>
    <CodeAddDate>20060101</CodeAddDate>
    <ActionEffDate>20060101</ActionEffDate>
    <ActionCode>N</ActionCode>
    <ActionCodeDescription>No maintenance for this code</ActionCodeDescription>
    <Status>Actual</Status>
    <LastUpdate>2026</LastUpdate>
  </HCPCS>
  <HCPCS>
    <HCPC>A9567</HCPC>
    <LongDescription>Technetium tc-99m pentetate, diagnostic, aerosol, per study dose, up to 75 millicuries</LongDescription>
    <ShortDescription>Technetium tc-99m aerosol</ShortDescription>
    <PI1>57</PI1>
    <PricingIndicatorCode1>Other carrier priced</PricingIndicatorCode1>
    <MPI>A</MPI>
    <MultiplePricingIndicatorCode>Not applicable as HCPCS priced under one methodology</MultiplePricingIndicatorCode>
    <Coverage>C</Coverage>
    <CoverageDescription>Carrier judgment</CoverageDescription>
    <BETOS>I1E</BETOS>
    <BETOSDescription>Standard imaging - nuclear medicine</BETOSDescription>
    <TOS1>4</TOS1>
    <TypeOfServiceCode1>Diagnostic radiology</TypeOfServiceCode1>
    <AnestBaseUnits>0</AnestBaseUnits>
    <CodeAddDate>20060101</CodeAddDate>
    <ActionEffDate>20060101</ActionEffDate>
    <ActionCode>N</ActionCode>
    <ActionCodeDescription>No maintenance for this code</ActionCodeDescription>
    <Status>Actual</Status>
    <LastUpdate>2026</LastUpdate>
  </HCPCS>
  <HCPCS>
    <HCPC>A9568</HCPC>
    <LongDescription>Technetium tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicuries</LongDescription>
    <ShortDescription>Technetium tc99m arcitumomab</ShortDescription>
    <PI1>53</PI1>
    <PricingIndicatorCode1>Statute</PricingIndicatorCode1>
    <MPI>A</MPI>
    <MultiplePricingIndicatorCode>Not applicable as HCPCS priced under one methodology</MultiplePricingIndicatorCode>
    <Coverage>C</Coverage>
    <CoverageDescription>Carrier judgment</CoverageDescription>
    <ASCPayGrp>YY</ASCPayGrp>
    <ASCPayGrpEffDate>20250101</ASCPayGrpEffDate>
    <BETOS>I1E</BETOS>
    <BETOSDescription>Standard imaging - nuclear medicine</BETOSDescription>
    <TOS1>4</TOS1>
    <TypeOfServiceCode1>Diagnostic radiology</TypeOfServiceCode1>
    <AnestBaseUnits>0</AnestBaseUnits>
    <CodeAddDate>20070101</CodeAddDate>
    <ActionEffDate>20250101</ActionEffDate>
    <ActionCode>N</ActionCode>
    <ActionCodeDescription>No maintenance for this code</ActionCodeDescription>
    <Status>Actual</Status>
    <LastUpdate>2026</LastUpdate>
  </HCPCS>
  <HCPCS>
    <HCPC>A9569</HCPC>
    <LongDescription>Technetium tc-99m exametazime labeled autologous white blood cells, diagnostic, per study dose</LongDescription>
    <ShortDescription>Technetium tc-99m auto wbc</ShortDescription>
    <PI1>57</PI1>
    <PricingIndicatorCode1>Other carrier priced</PricingIndicatorCode1>
    <MPI>A</MPI>
    <MultiplePricingIndicatorCode>Not applicable as HCPCS priced under one methodology</MultiplePricingIndicatorCode>
    <Coverage>C</Coverage>
    <CoverageDescription>Carrier judgment</CoverageDescription>
    <ASCPayGrp>YY</ASCPayGrp>
    <ASCPayGrpEffDate>20250101</ASCPayGrpEffDate>
    <BETOS>I1E</BETOS>
    <BETOSDescription>Standard imaging - nuclear medicine</BETOSDescription>
    <TOS1>4</TOS1>
    <TypeOfServiceCode1>Diagnostic radiology</TypeOfServiceCode1>
    <AnestBaseUnits>0</AnestBaseUnits>
    <CodeAddDate>20080101</CodeAddDate>
    <ActionEffDate>20250101</ActionEffDate>
    <ActionCode>N</ActionCode>
    <ActionCodeDescription>No maintenance for this code</ActionCodeDescription>
    <Status>Actual</Status>
    <LastUpdate>2026</LastUpdate>
  </HCPCS>
  <HCPCS>
    <HCPC>C1204</HCPC>
    <LongDescription>Technetium tc 99m tilmanocept, diagnostic, up to 0.5 millicuries</LongDescription>
    <ShortDescription>Tc 99m tilmanocept</ShortDescription>
    <PI1>53</PI1>
    <PricingIndicatorCode1>Statute</PricingIndicatorCode1>
    <MPI>A</MPI>
    <MultiplePricingIndicatorCode>Not applicable as HCPCS priced under one methodology</MultiplePricingIndicatorCode>
    <Statute>1833(t)</Statute>
    <XRef1>A9520</XRef1>
    <Coverage>D</Coverage>
    <CoverageDescription>Special coverage instructions apply</CoverageDescription>
    <BETOS>I1E</BETOS>
    <BETOSDescription>Standard imaging - nuclear medicine</BETOSDescription>
    <TOS1>4</TOS1>
    <TypeOfServiceCode1>Diagnostic radiology</TypeOfServiceCode1>
    <TOS2>F</TOS2>
    <TypeOfServiceCode2>Ambulatory surgical center (facility usage for surgical services)</TypeOfServiceCode2>
    <AnestBaseUnits>0</AnestBaseUnits>
    <CodeAddDate>20131001</CodeAddDate>
    <ActionEffDate>20140101</ActionEffDate>
    <TermDate>20131231</TermDate>
    <ActionCode>N</ActionCode>
    <ActionCodeDescription>No maintenance for this code</ActionCodeDescription>
    <Status>Discontinued</Status>
    <LastUpdate>2017</LastUpdate>
  </HCPCS>
  <HCPCS>
    <HCPC>C9176</HCPC>
    <LongDescription>Tc-99m from domestically produced non-heu mo-99, [minimum 50 percent], full cost recovery add-on, per study dose</LongDescription>
    <ShortDescription>Dom nonheu tc99m add-on/dose</ShortDescription>
    <PI1>53</PI1>
    <PricingIndicatorCode1>Statute</PricingIndicatorCode1>
    <MPI>A</MPI>
    <MultiplePricingIndicatorCode>Not applicable as HCPCS priced under one methodology</MultiplePricingIndicatorCode>
    <Statute>1833(t)</Statute>
    <Coverage>D</Coverage>
    <CoverageDescription>Special coverage instructions apply</CoverageDescription>
    <ASCPayGrp>YY</ASCPayGrp>
    <ASCPayGrpEffDate>20260101</ASCPayGrpEffDate>
    <BETOS>Y1</BETOS>
    <BETOSDescription>Other - Medicare fee schedule</BETOSDescription>
    <TOS1>9</TOS1>
    <TypeOfServiceCode1>Other medical items or services</TypeOfServiceCode1>
    <AnestBaseUnits>0</AnestBaseUnits>
    <CodeAddDate>20260101</CodeAddDate>
    <ActionEffDate>20260101</ActionEffDate>
    <ActionCode>N</ActionCode>
    <ActionCodeDescription>No maintenance for this code</ActionCodeDescription>
    <Status>Actual</Status>
    <LastUpdate>2026</LastUpdate>
  </HCPCS>
  <HCPCS>
    <HCPC>Q9969</HCPC>
    <LongDescription>Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose</LongDescription>
    <ShortDescription>Non-heu tc-99m add-on/dose</ShortDescription>
    <PI1>53</PI1>
    <PricingIndicatorCode1>Statute</PricingIndicatorCode1>
    <MPI>A</MPI>
    <MultiplePricingIndicatorCode>Not applicable as HCPCS priced under one methodology</MultiplePricingIndicatorCode>
    <Coverage>D</Coverage>
    <CoverageDescription>Special coverage instructions apply</CoverageDescription>
    <ProcNote>0179</ProcNote>
    <BETOS>Y1</BETOS>
    <BETOSDescription>Other - Medicare fee schedule</BETOSDescription>
    <TOS1>9</TOS1>
    <TypeOfServiceCode1>Other medical items or services</TypeOfServiceCode1>
    <AnestBaseUnits>0</AnestBaseUnits>
    <CodeAddDate>20130101</CodeAddDate>
    <ActionEffDate>20260101</ActionEffDate>
    <TermDate>20251231</TermDate>
    <ActionCode>N</ActionCode>
    <ActionCodeDescription>No maintenance for this code</ActionCodeDescription>
    <Status>Actual</Status>
    <LastUpdate>2026</LastUpdate>
  </HCPCS>
  <HCPCS>
    <HCPC>TC</HCPC>
    <LongDescription>Technical component; under certain circumstances, a charge may be made for the technical component alone;  under those circumstances the technical component charge is identified by adding modifier 'tc' to the usual procedure number; technical component charges are institutional charges and not billed separately by physicians; however, portable x-ray suppliers only bill for technical component and should utilize modifier tc; the charge data from portable x-ray suppliers will then be used to build customary and prevailing profiles</LongDescription>
    <ShortDescription>Technical component</ShortDescription>
    <Coverage>C</Coverage>
    <CoverageDescription>Carrier judgment</CoverageDescription>
    <CodeAddDate>19840101</CodeAddDate>
    <ActionEffDate>19970101</ActionEffDate>
    <ActionCode>N</ActionCode>
    <ActionCodeDescription>No maintenance for this code</ActionCodeDescription>
    <Status>Actual</Status>
    <LastUpdate>2026</LastUpdate>
  </HCPCS>
</HCPCSList>
                    
<HCPCSList><HCPCS><HCPC>A9500</HCPC><ShortDescription>Tc99m sestamibi</ShortDescription><LongDescription>Technetium tc-99m sestamibi, diagnostic, per study dose</LongDescription></HCPCS><HCPCS><HCPC>A9501</HCPC><ShortDescription>Technetium tc-99m teboroxime</ShortDescription><LongDescription>Technetium tc-99m teboroxime, diagnostic, per study dose</LongDescription></HCPCS><HCPCS><HCPC>A9502</HCPC><ShortDescription>Tc99m tetrofosmin</ShortDescription><LongDescription>Technetium tc-99m tetrofosmin, diagnostic, per study dose</LongDescription></HCPCS><HCPCS><HCPC>A9503</HCPC><ShortDescription>Tc99m medronate</ShortDescription><LongDescription>Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries</LongDescription></HCPCS><HCPCS><HCPC>A9504</HCPC><ShortDescription>Tc99m apcitide</ShortDescription><LongDescription>Technetium tc-99m apcitide, diagnostic, per study dose, up to 20 millicuries</LongDescription></HCPCS><HCPCS><HCPC>A9506</HCPC><ShortDescription>Tc-99m graphite crucible</ShortDescription><LongDescription>Graphite crucible for preparation of technetium tc 99m-labeled carbon aerosol, one crucible</LongDescription></HCPCS><HCPCS><HCPC>A9510</HCPC><ShortDescription>Tc99m disofenin</ShortDescription><LongDescription>Technetium tc-99m disofenin, diagnostic, per study dose, up to 15 millicuries</LongDescription></HCPCS><HCPCS><HCPC>A9512</HCPC><ShortDescription>Tc99m pertechnetate</ShortDescription><LongDescription>Technetium tc-99m pertechnetate, diagnostic, per millicurie</LongDescription></HCPCS><HCPCS><HCPC>A9520</HCPC><ShortDescription>Tc99 tilmanocept diag 0.5mci</ShortDescription><LongDescription>Technetium tc-99m tilmanocept, diagnostic, up to 0.5 millicuries</LongDescription></HCPCS><HCPCS><HCPC>A9521</HCPC><ShortDescription>Tc99m exametazime</ShortDescription><LongDescription>Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries</LongDescription></HCPCS><HCPCS><HCPC>A9536</HCPC><ShortDescription>Tc99m depreotide</ShortDescription><LongDescription>Technetium tc-99m depreotide, diagnostic, per study dose, up to 35 millicuries</LongDescription></HCPCS><HCPCS><HCPC>A9537</HCPC><ShortDescription>Tc99m mebrofenin</ShortDescription><LongDescription>Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries</LongDescription></HCPCS><HCPCS><HCPC>A9538</HCPC><ShortDescription>Tc99m pyrophosphate</ShortDescription><LongDescription>Technetium tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries</LongDescription></HCPCS><HCPCS><HCPC>A9539</HCPC><ShortDescription>Tc99m pentetate</ShortDescription><LongDescription>Technetium tc-99m pentetate, diagnostic, per study dose, up to 25 millicuries</LongDescription></HCPCS><HCPCS><HCPC>A9540</HCPC><ShortDescription>Tc99m maa</ShortDescription><LongDescription>Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries</LongDescription></HCPCS><HCPCS><HCPC>A9541</HCPC><ShortDescription>Tc99m sulfur colloid</ShortDescription><LongDescription>Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries</LongDescription></HCPCS><HCPCS><HCPC>A9550</HCPC><ShortDescription>Tc99m gluceptate</ShortDescription><LongDescription>Technetium tc-99m sodium gluceptate, diagnostic, per study dose, up to 25 millicurie</LongDescription></HCPCS><HCPCS><HCPC>A9551</HCPC><ShortDescription>Tc99m succimer</ShortDescription><LongDescription>Technetium tc-99m succimer, diagnostic, per study dose, up to 10 millicuries</LongDescription></HCPCS><HCPCS><HCPC>A9557</HCPC><ShortDescription>Tc99m bicisate</ShortDescription><LongDescription>Technetium tc-99m bicisate, diagnostic, per study dose, up to 25 millicuries</LongDescription></HCPCS><HCPCS><HCPC>A9560</HCPC><ShortDescription>Tc99m labeled rbc</ShortDescription><LongDescription>Technetium tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries</LongDescription></HCPCS><HCPCS><HCPC>A9561</HCPC><ShortDescription>Tc99m oxidronate</ShortDescription><LongDescription>Technetium tc-99m oxidronate, diagnostic, per study dose, up to 30 millicuries</LongDescription></HCPCS><HCPCS><HCPC>A9562</HCPC><ShortDescription>Tc99m mertiatide</ShortDescription><LongDescription>Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries</LongDescription></HCPCS><HCPCS><HCPC>A9566</HCPC><ShortDescription>Tc99m fanolesomab</ShortDescription><LongDescription>Technetium tc-99m fanolesomab, diagnostic, per study dose, up to 25 millicuries</LongDescription></HCPCS><HCPCS><HCPC>A9567</HCPC><ShortDescription>Technetium tc-99m aerosol</ShortDescription><LongDescription>Technetium tc-99m pentetate, diagnostic, aerosol, per study dose, up to 75 millicuries</LongDescription></HCPCS><HCPCS><HCPC>A9568</HCPC><ShortDescription>Technetium tc99m arcitumomab</ShortDescription><LongDescription>Technetium tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicuries</LongDescription></HCPCS><HCPCS><HCPC>A9569</HCPC><ShortDescription>Technetium tc-99m auto wbc</ShortDescription><LongDescription>Technetium tc-99m exametazime labeled autologous white blood cells, diagnostic, per study dose</LongDescription></HCPCS><HCPCS><HCPC>C1204</HCPC><ShortDescription>Tc 99m tilmanocept</ShortDescription><LongDescription>Technetium tc 99m tilmanocept, diagnostic, up to 0.5 millicuries</LongDescription></HCPCS><HCPCS><HCPC>C9176</HCPC><ShortDescription>Dom nonheu tc99m add-on/dose</ShortDescription><LongDescription>Tc-99m from domestically produced non-heu mo-99, [minimum 50 percent], full cost recovery add-on, per study dose</LongDescription></HCPCS><HCPCS><HCPC>Q9969</HCPC><ShortDescription>Non-heu tc-99m add-on/dose</ShortDescription><LongDescription>Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose</LongDescription></HCPCS><HCPCS><HCPC>TC</HCPC><ShortDescription>Technical component</ShortDescription><LongDescription>Technical component; under certain circumstances, a charge may be made for the technical component alone;  under those circumstances the technical component charge is identified by adding modifier 'tc' to the usual procedure number; technical component charges are institutional charges and not billed separately by physicians; however, portable x-ray suppliers only bill for technical component and should utilize modifier tc; the charge data from portable x-ray suppliers will then be used to build customary and prevailing profiles</LongDescription></HCPCS></HCPCSList>

Using REST to Invoke DataLabs API

Introduction

This document is intended for developers who want to write applications that can interact with the DataLabs REST API. With DataLabs Web Services, you can create a customized services for your own website or application. You can use the REST API to retrieve DataLabs Web Services results programmatically.

Important: The REST API requires the use of an API key, which you can get from the DataLabs MyAccount Console.

Working With DataLabs REST API

You can retrieve results for a particular operation (search, getcode, etc) by sending an HTTP GET request to its URI.
For instance, the URI for a “search” request has the following format: 

https://www.datalabs.health/api/{domain}/{operation}?q={query}&rt={result type}&token={token}

If the request succeeds, the server responds with a 200 OK HTTP status code and the response data.

Four parameters are required with each “search” request:

  • Use the domain parameter to specify required data domain.
  • Use the operation parameter to specify “format_check” operation.
  • Use the q (query) parameter to specify your query.
  • Use the token (API key) query parameter to identify your application.

Optional parameter:

  • Use the rt (result type) parameter to specify required result type (json/xml/min.json/min.xml).

All other query parameters (if any) are optional.

Full list of API parameters:

  • Use the domain parameter to specify required data domain.
  • Use the operation parameter to specify “format_check” operation.
  • Use the q (query) parameter to specify your query.
  • Use the token (API key) query parameter to identify your application.
  • Use the tin (tin number) parameter to specify your query about tin number.
  • Use the tinname (tin name) parameter to specify your query about tin name.
  • Use the zipcode (zip code) parameter to specify your query about zip code.
  • Use the radius (radius) parameter to specify your query about radius.
  • Use the fromdate (fromdate) parameter to specify your query about from date.
  • Use the todate (todate) parameter to specify your query about to date.

Operations Currently Available in the DataLabs REST API

Currently DataLabs RESTful Lookup Service supports following operations:

  • check_status — this method allows to get current code status.
  • getcode — this method allows retrieval of full infrormation regarding one item based on the provided key.
  • getcodes — this method allows retrieval of full infrormation regarding number of items based on the provided keys (q=1285636522,1730198755,1427145176,1487730636).
  • search — allows retrieval of set of items based on the free-form lookup query.
  • search_and_keywords — returns not only free-form lookup results but also keywords relevant to the original query.

Plus there are three NPI-specific operations:

  • validate — allows to determine whether provider's information is valid based on data in the CMS database.
  • paginate_with_predicates — provides server side data pagination using sorting and ordering criteria.
  • search_with_predicates — this method is a "blend" of free text search and traditional prdeicate-based data selection.
  • zipradius — allows to get npis by zipcode & radius.
  • npideactivated — allows to get deactivated npis between two dates.

REST Search Examples

Query Parameter Reference

The query parameters you can use with the DataLabs REST API are summarized in the following table.
All parameter values need to be URL encoded.

Parameter Meaning Notes
domain Domain
  • Currently following data domains are supported:
    • NPI - NPI Number Lookup
    • HCPCS - Healthcare Provider Procedure Coding System Lookup
    • NDC - National Drug Code Lookup
    • NDCA - Animal Drug Product Listing Directory Lookup
    • CLIA - Clinical Laboratory Improvement Amendments
    • HPTC - Healthcare Provider Taxonomy Code Lookup
    • NAICS - North American Industry Classification System Lookup
    • LOINC - Logical Observation Identifiers Names and Codes (LOINC®) Lookup
    • DRG - Diagnosis-Related Group Lookup
    • ICD9 - Ninth Revision of the International Classification of Diseases Lookup
    • ICD10 - Tenth Revision of the International Classification of Diseases Lookup
    • ICD10DRUGS - ICD-10-CM Table Of Drugs And Chemicals Lookup
    • ZIP - Postal Codes used by the United States Postal Service
operation Operation
  • Generic operations:
    • check_status - this method allows to get current code status.
    • search - allows retrieval of set of items (up to 30) based on the free-form lookup query.
    • search_and_keywords - returns not only free-form lookup results but also keywords relevant to the original query.
    • getcode - this method allows retrieval of full infrormation regarding one item based on the provided key.
    • getcodes - this method allows retrieval of full infrormation regarding number of items based on the provided keys.
  • NPI-specific operations:
    • validate — allows to determine whether provider's information is valid based on data in the CMS database.
    • paginate_with_predicates — provides server side data pagination using sorting and ordering criteria.
    • search_with_predicates — this method is a "blend" of free text search and traditional prdeicate-based data selection.
    • zipradius — allows to get npis by zipcode & radius.
    • npideactivated — allows to get deactivated npis between two dates.
q Query
  • The search expression. May vary depending on the operation.
    • Free form text like: “q=blood glucose monitor” (search operation)
    • Exact code value : “q=1285636522” (getcode operation)
    • List of codes : “q=1285636522,1730198755,1427145176,1487730636” (getcodes operation)
zipcode Query for NPI by Zip code/radius Lookup
  • The search expression for zip code.
    • Exact code value : “zipcode=98052” (search operation)
radius Query for NPI by Zip code/radius Lookup
  • The search expression for radius.
    • Exact code value : “radius=20” (search operation)
fromdate Query for Deactivated NPI
  • The search expression for fromdate.
    • Exact code value : “fromdate=05/01/2023” (search operation - format MM/DD/YYYY)
todate Query for Deactivated NPI
  • The search expression for tomdate.
    • Exact code value : “todate=05/31/2023” (search operation - format MM/DD/YYYY)
tin Query for IRS Lookup
  • The search expression for tin number.
    • Exact code value : “tin=942404110” (search operation)
tinname Query for IRS Lookup
  • The search expression for tin name.
    • Free form text like: “tinname=apple inc.” (search operation)
rt Data format
  • If you don't specify an rt parameter, the API returns data in the JSON format. This is equivalent to rt=json.
  • Accepted values are:
    • json
    • minjson (minified json)
    • xml
    • minxml (minified xml)
token Your API key
num Number of search results to return
  • You can specify the how many results to return for the current search.
  • Valid values are integers between 1 and 100, inclusive.
  • If num is not used, a value of 30 is assumed.
friendlyprint Returns a response with indentations and line breaks
  • If friendlyprint is not used, a “true” value is assumed. This is equivalent to friendlyprint=true.
  • Accepted values are:
    • true - the results returned by the server will be more “human readable”.
    • false - the results returned by the server will not have indentations and line breaks.
ICD9/ICD10 Parameters
codeType Specifies whether ICD code is "dx"(Diagnosis) or "pcs"(Procedure).
  • Required for ICD only.
  • If you don't specify an codeType parameter this is equivalent to codeType=dx.
  • Accepted values are:
    • dx (diagnosis)
    • pcs (procedure)
qf Specifies predicate in form of tuple "qf=City:true:Phoenix".
  • Expected to be one or many "qf" parameters in request.
  • Required for following operations:
    • validate
    • paginate_with_predicates
    • search_with_predicates
  • Tuple values are (order based):
    • NPI Field Name
      • NPI
      • Phone
      • Fax
      • FirstName
      • LastName
      • OrganizationName
      • OtherOrganizationName
      • Address1
      • Address2
      • Zip
      • City
      • State
      • IndividualOrganizationCode
    • Exact Match
      • true
      • false
    • Expected Field Value
orderField Sort order field name
  • Expected to be one "orderField" parameter in request.
  • Required for following operations:
    • paginate_with_predicates
  • Values are:
    • NPI
    • Phone
    • Fax
    • FirstName
    • LastName
    • OrganizationName
    • OtherOrganizationName
    • Address1
    • Address2
    • Zip
    • City
    • State
    • IndividualOrganizationCode
pageNo Page Number
  • Ordinal page number.
  • Required for following operations:
    • paginate_with_predicates
    • zipradius
    • npideactivated
pageSize Page Size
  • Expected page size.
  • Required for following operations:
    • paginate_with_predicates

DataLabs Coding Library - Quering NPI Registry - REST API Examples

Use Case #1 - I Need to Find Healthcare Provider (Doctor or Orgranization) Having Just Partial Information

So, you have to find healthcare provider having just partial information. For instance all you have is "EYE doctor RANIA in REDMOND". Strictly speaking, it is necessary to perform a search with minimum information and the maximum level of relevance of the result.

Coding example below demonstrates simplest implementation in C# language. By default DataLabs full text search API returns 30 results and, as you may see below, the first result in the list is "REDMOND EYE DOCTORS, PLLC" where dr. Rania Montecillo specified an owner.

Feel free to use and modify this code to find doctors you may know. If you provide more or less meaningfull information you will be pleasantly surprised to see them in the search results. 

            
//--------------------------------------------------------------------------------------
// Fulltext search on NPI registry. Perform "search" operation to get most relevant results.
//--------------------------------------------------------------------------------------
using System;
using System.Net.Http;
using System.Threading.Tasks;

public class Program
{
    private const string token = "3932f3b0-cfab-11dc-95ff-0800200c9a663932f3b0-cfab-11dc-95ff-0800200c9a66";

    static async Task Main(string[] args)
    {
        string endPoint = $"https://www.datalabs.health/api/npi/search?q=EYE%20RANIA%20REDMOND&token={token}";
        using HttpClient client = new HttpClient();
        string response = await client.GetStringAsync(endPoint);

        Console.WriteLine(response);

        Console.WriteLine("Done. Press any key to exit ...");
        Console.ReadKey();
    }
}

Output

            
{
  "NPI": [
    {
      "NPI": "1295783033",
      "EntityType": "Organization",
      "EIN": "N/A",
      "IsOrgSubpart": "N",
      "OrgName": "REDMOND EYE DOCTORS, PLLC",
      "FirstLineMailingAddress": "16375 NE 85TH ST",
      "SecondLineMailingAddress": "SUITE 102",
      "MailingAddressCityName": "REDMOND",
      "MailingAddressStateName": "WA",
      "MailingAddressPostalCode": "98052-3554",
      "MailingAddressCountryCode": "US",
      "MailingAddressTelephoneNumber": "425-885-7363",
      "MailingAddressFaxNumber": "425-861-5585",
      "FirstLinePracticeLocationAddress": "16375 NE 85TH ST",
      "SecondLinePracticeLocationAddress": "SUITE 102",
      "PracticeLocationAddressCityName": "REDMOND",
      "PracticeLocationAddressStateName": "WA",
      "PracticeLocationAddressPostalCode": "98052-3554",
      "PracticeLocationAddressCountryCode": "US",
      "PracticeLocationAddressTelephoneNumber": "425-885-7363",
      "PracticeLocationAddressFaxNumber": "425-861-5585",
      "EnumerationDate": "05/04/2006",
      "LastUpdateDate": "12/11/2007",
      "AuthorizedOfficialLastName": "MONTECILLO",
      "AuthorizedOfficialFirstName": "RANIA",
      "AuthorizedOfficialTitle": "OWNER",
      "AuthorizedOfficialNamePrefix": "DR.",
      "AuthorizedOfficialCredential": "O.D.",
      "AuthorizedOfficialTelephoneNumber": "425-885-7363",
      "TaxonomyCode1": "152W00000X",
      "Taxonomy1": "Optometrist",
      "LicenseNumber1": "801TX",
      "LicenseNumberStateCode1": "WA",
      "PrimaryTaxonomySwitch1": "Y",
      "HealthcareProviderTaxonomyGroup1": "193400000X SINGLE SPECIALTY  GROUP",
      "HealthcareProviderTaxonomyGroupDescription1": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
    },
    {
      "NPI": "1346319878",
      "EntityType": "Organization",
      "EIN": "N/A",
      "OrgName": "REDMOND EYE CLINIC PLLC",
      "FirstLineMailingAddress": "16150 NE 85TH ST STE 206",
      "MailingAddressCityName": "REDMOND",
      "MailingAddressStateName": "WA",
      "MailingAddressPostalCode": "98052-3543",
      "MailingAddressCountryCode": "US",
      "MailingAddressTelephoneNumber": "425-885-3574",
      "MailingAddressFaxNumber": "425-881-0230",
      "FirstLinePracticeLocationAddress": "16150 NE 85TH ST STE 206",
      "PracticeLocationAddressCityName": "REDMOND",
      "PracticeLocationAddressStateName": "WA",
      "PracticeLocationAddressPostalCode": "98052-3543",
      "PracticeLocationAddressCountryCode": "US",
      "PracticeLocationAddressTelephoneNumber": "425-885-3574",
      "PracticeLocationAddressFaxNumber": "425-881-0230",
      "EnumerationDate": "11/07/2006",
      "LastUpdateDate": "07/08/2007",
      "AuthorizedOfficialLastName": "OTTEN",
      "AuthorizedOfficialFirstName": "LARRY",
      "AuthorizedOfficialMiddleName": "C",
      "AuthorizedOfficialTitle": "DR",
      "AuthorizedOfficialNamePrefix": "DR.",
      "AuthorizedOfficialCredential": "O.D.",
      "AuthorizedOfficialTelephoneNumber": "425-885-3574",
      "TaxonomyCode1": "152W00000X",
      "Taxonomy1": "Optometrist",
      "LicenseNumber1": "OD00001172",
      "LicenseNumberStateCode1": "WA",
      "PrimaryTaxonomySwitch1": "Y",
      "HealthcareProviderTaxonomyGroup1": "193200000X MULTI-SPECIALTY GROUP",
      "HealthcareProviderTaxonomyGroupDescription1": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
    },
    {
      "NPI": "1376755009",
      "EntityType": "Individual",
      "IsSoleProprietor": "N",
      "LastName": "PERIMAN",
      "FirstName": "LAURA",
      "MiddleName": "MARIE",
      "NamePrefix": "DR.",
      "Credential": "MD",
      "FirstLineMailingAddress": "623 W HIGHLAND DR",
      "MailingAddressCityName": "SEATTLE",
      "MailingAddressStateName": "WA",
      "MailingAddressPostalCode": "98119-3446",
      "MailingAddressCountryCode": "US",
      "MailingAddressTelephoneNumber": "206-282-2716",
      "FirstLinePracticeLocationAddress": "16150 NE 85TH ST STE 206",
      "SecondLinePracticeLocationAddress": "REDMOND EYE CLINIC",
      "PracticeLocationAddressCityName": "REDMOND",
      "PracticeLocationAddressStateName": "WA",
      "PracticeLocationAddressPostalCode": "98052-3543",
      "PracticeLocationAddressCountryCode": "US",
      "PracticeLocationAddressTelephoneNumber": "425-885-3574",
      "EnumerationDate": "05/04/2007",
      "LastUpdateDate": "07/08/2007",
      "GenderCode": "F",
      "Gender": "Female",
      "TaxonomyCode1": "207W00000X",
      "Taxonomy1": "Ophthalmology",
      "LicenseNumber1": "MD00039796",
      "LicenseNumberStateCode1": "WA",
      "PrimaryTaxonomySwitch1": "Y"
    },
    {
      "NPI": "1659320539",
      "EntityType": "Individual",
      "IsSoleProprietor": "N",
      "LastName": "MONTECILLO",
      "FirstName": "RANIA",
      "MiddleName": "B",
      "NamePrefix": "DR.",
      "Credential": "OD",
      "FirstLineMailingAddress": "16375 NE 85TH ST",
      "SecondLineMailingAddress": "SUITE 102",
      "MailingAddressCityName": "REDMOND",
      "MailingAddressStateName": "WA",
      "MailingAddressPostalCode": "98052-3554",
      "MailingAddressCountryCode": "US",
      "MailingAddressTelephoneNumber": "425-885-7363",
      "MailingAddressFaxNumber": "425-861-5585",
      "FirstLinePracticeLocationAddress": "16375 NE 85TH ST",
      "SecondLinePracticeLocationAddress": "SUITE 102",
      "PracticeLocationAddressCityName": "REDMOND",
      "PracticeLocationAddressStateName": "WA",
      "PracticeLocationAddressPostalCode": "98052-3554",
      "PracticeLocationAddressCountryCode": "US",
      "PracticeLocationAddressTelephoneNumber": "425-885-7363",
      "PracticeLocationAddressFaxNumber": "425-861-5585",
      "EnumerationDate": "05/09/2006",
      "LastUpdateDate": "12/19/2007",
      "GenderCode": "F",
      "Gender": "Female",
      "TaxonomyCode1": "152W00000X",
      "Taxonomy1": "Optometrist",
      "LicenseNumber1": "3680",
      "LicenseNumberStateCode1": "WA",
      "PrimaryTaxonomySwitch1": "Y"
    },
    {
      "NPI": "1427560267",
      "EntityType": "Individual",
      "IsSoleProprietor": "Y",
      "LastName": "ABOU SHADI",
      "FirstName": "RANIA",
      "NamePrefix": "MRS.",
      "Credential": "RPH",
      "FirstLineMailingAddress": "8862 161ST AVENUE NE",
      "SecondLineMailingAddress": "SUITE 102",
      "MailingAddressCityName": "REDMOND",
      "MailingAddressStateName": "WA",
      "MailingAddressPostalCode": "98052",
      "MailingAddressCountryCode": "US",
      "MailingAddressTelephoneNumber": "425-883-9532",
      "MailingAddressFaxNumber": "425-882-2743",
      "FirstLinePracticeLocationAddress": "8862 161ST AVENUE NE",
      "SecondLinePracticeLocationAddress": "SUITE 102",
      "PracticeLocationAddressCityName": "REDMOND",
      "PracticeLocationAddressStateName": "WA",
      "PracticeLocationAddressPostalCode": "98052",
      "PracticeLocationAddressCountryCode": "US",
      "PracticeLocationAddressTelephoneNumber": "425-883-9532",
      "PracticeLocationAddressFaxNumber": "425-882-2743",
      "EnumerationDate": "11/02/2017",
      "LastUpdateDate": "11/02/2017",
      "GenderCode": "F",
      "Gender": "Female",
      "TaxonomyCode1": "3336C0003X",
      "Taxonomy1": "Community/Retail Pharmacy",
      "PrimaryTaxonomySwitch1": "Y"
    },
    {
      "NPI": "1528050523",
      "EntityType": "Organization",
      "EIN": "N/A",
      "IsOrgSubpart": "N",
      "OrgName": "DESCHUTES EYE CLINIC PC",
      "OtherOrgName": "THE EYE SURGERY INSTITUTE",
      "OtherOrgNameTypeCode": "3",
      "FirstLineMailingAddress": "813 SW HIGHLAND AVE",
      "MailingAddressCityName": "REDMOND",
      "MailingAddressStateName": "OR",
      "MailingAddressPostalCode": "97756-3123",
      "MailingAddressCountryCode": "US",
      "MailingAddressTelephoneNumber": "541-548-7170",
      "MailingAddressFaxNumber": "541-548-3842",
      "FirstLinePracticeLocationAddress": "813 SW HIGHLAND AVE",
      "PracticeLocationAddressCityName": "REDMOND",
      "PracticeLocationAddressStateName": "OR",
      "PracticeLocationAddressPostalCode": "97756-3123",
      "PracticeLocationAddressCountryCode": "US",
      "PracticeLocationAddressTelephoneNumber": "541-548-7170",
      "PracticeLocationAddressFaxNumber": "541-548-3842",
      "EnumerationDate": "08/17/2005",
      "LastUpdateDate": "12/01/2010",
      "AuthorizedOfficialLastName": "TRAUSTASON",
      "AuthorizedOfficialFirstName": "OLI",
      "AuthorizedOfficialMiddleName": "I",
      "AuthorizedOfficialTitle": "PRESIDENT",
      "AuthorizedOfficialNamePrefix": "DR.",
      "AuthorizedOfficialCredential": "M.D.",
      "AuthorizedOfficialTelephoneNumber": "541-548-7170",
      "TaxonomyCode1": "207W00000X",
      "Taxonomy1": "Ophthalmology",
      "PrimaryTaxonomySwitch1": "Y",
      "OtherIdentifier1": "053857000",
      "OtherIdentifierType1": "OTHER",
      "OtherIdentifierState1": "OR",
      "OtherIdentifierIssuer1": "REGENCE BCBS",
      "OtherIdentifier2": "CJ8770",
      "OtherIdentifierType2": "OTHER",
      "OtherIdentifierState2": "OR",
      "OtherIdentifierIssuer2": "RAILROAD MEDICARE",
      "OtherIdentifier3": "38080A",
      "OtherIdentifierType3": "OTHER",
      "OtherIdentifierState3": "OR",
      "OtherIdentifierIssuer3": "CLEAR CHOICE",
      "HealthcareProviderTaxonomyGroup1": "193400000X SINGLE SPECIALTY  GROUP",
      "HealthcareProviderTaxonomyGroupDescription1": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
    },
    {
      "NPI": "1477596252",
      "EntityType": "Organization",
      "EIN": "N/A",
      "IsOrgSubpart": "N",
      "OrgName": "EYE CARE SPECIALISTS NORTHWEST PLLC",
      "OtherOrgName": "THE CHILDRENS EYE DOCTORS, THE FAMILY EYE DOCTORS, WOODLAWN OPTICAL",
      "OtherOrgNameTypeCode": "3",
      "FirstLineMailingAddress": "17130 AVONDALE WAY NE",
      "SecondLineMailingAddress": "SUITE 111",
      "MailingAddressCityName": "REDMOND",
      "MailingAddressStateName": "WA",
      "MailingAddressPostalCode": "98052",
      "MailingAddressCountryCode": "US",
      "MailingAddressTelephoneNumber": "425-885-6600",
      "MailingAddressFaxNumber": "425-885-6580",
      "FirstLinePracticeLocationAddress": "17130 AVONDALE WAY NE",
      "SecondLinePracticeLocationAddress": "SUITE 111",
      "PracticeLocationAddressCityName": "REDMOND",
      "PracticeLocationAddressStateName": "WA",
      "PracticeLocationAddressPostalCode": "98052",
      "PracticeLocationAddressCountryCode": "US",
      "PracticeLocationAddressTelephoneNumber": "425-885-6600",
      "PracticeLocationAddressFaxNumber": "425-885-6580",
      "EnumerationDate": "06/13/2006",
      "LastUpdateDate": "03/03/2008",
      "AuthorizedOfficialLastName": "LENART",
      "AuthorizedOfficialFirstName": "THOMAS",
      "AuthorizedOfficialTitle": "OWNER",
      "AuthorizedOfficialNamePrefix": "DR.",
      "AuthorizedOfficialCredential": "MD PHD",
      "AuthorizedOfficialTelephoneNumber": "425-885-6600",
      "TaxonomyCode1": "152W00000X",
      "Taxonomy1": "Optometrist",
      "PrimaryTaxonomySwitch1": "N",
      "TaxonomyCode2": "156FX1800X",
      "Taxonomy2": "Optician",
      "PrimaryTaxonomySwitch2": "N",
      "TaxonomyCode3": "207W00000X",
      "Taxonomy3": "Ophthalmology",
      "PrimaryTaxonomySwitch3": "Y",
      "OtherIdentifier1": "1568514032",
      "OtherIdentifierType1": "OTHER",
      "OtherIdentifierIssuer1": "NPI",
      "OtherIdentifier2": "1740297829",
      "OtherIdentifierType2": "OTHER",
      "OtherIdentifierIssuer2": "NPI",
      "OtherIdentifier3": "1205989522",
      "OtherIdentifierType3": "OTHER",
      "OtherIdentifierIssuer3": "NPI",
      "HealthcareProviderTaxonomyGroup1": "193200000X MULTI-SPECIALTY GROUP",
      "HealthcareProviderTaxonomyGroupDescription1": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization.",
      "HealthcareProviderTaxonomyGroup2": "193200000X MULTI-SPECIALTY GROUP",
      "HealthcareProviderTaxonomyGroupDescription2": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization.",
      "HealthcareProviderTaxonomyGroup3": "193200000X MULTI-SPECIALTY GROUP",
      "HealthcareProviderTaxonomyGroupDescription3": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
    },
    {
      "NPI": "1215029343",
      "EntityType": "Organization",
      "EIN": "N/A",
      "IsOrgSubpart": "N",
      "OrgName": "EYE HEALTH PROFESSIONALS, P.C.",
      "FirstLineMailingAddress": "85 BARNES RD",
      "SecondLineMailingAddress": "SUITE 102",
      "MailingAddressCityName": "WALLINGFORD",
      "MailingAddressStateName": "CT",
      "MailingAddressPostalCode": "06492-1832",
      "MailingAddressCountryCode": "US",
      "MailingAddressTelephoneNumber": "203-284-9448",
      "MailingAddressFaxNumber": "203-269-1361",
      "FirstLinePracticeLocationAddress": "85 BARNES RD",
      "SecondLinePracticeLocationAddress": "SUITE 102",
      "PracticeLocationAddressCityName": "WALLINGFORD",
      "PracticeLocationAddressStateName": "CT",
      "PracticeLocationAddressPostalCode": "06492-1832",
      "PracticeLocationAddressCountryCode": "US",
      "PracticeLocationAddressTelephoneNumber": "203-284-9448",
      "PracticeLocationAddressFaxNumber": "203-269-1361",
      "EnumerationDate": "09/28/2006",
      "LastUpdateDate": "03/07/2008",
      "AuthorizedOfficialLastName": "REDMOND",
      "AuthorizedOfficialFirstName": "JOHN",
      "AuthorizedOfficialMiddleName": "W",
      "AuthorizedOfficialTitle": "PRESIDENT",
      "AuthorizedOfficialNamePrefix": "DR.",
      "AuthorizedOfficialCredential": "M.D.",
      "AuthorizedOfficialTelephoneNumber": "203-284-9448",
      "TaxonomyCode1": "207W00000X",
      "Taxonomy1": "Ophthalmology",
      "PrimaryTaxonomySwitch1": "Y",
      "HealthcareProviderTaxonomyGroup1": "193400000X SINGLE SPECIALTY  GROUP",
      "HealthcareProviderTaxonomyGroupDescription1": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
    },
    {
      "NPI": "1982789863",
      "EntityType": "Organization",
      "EIN": "N/A",
      "OrgName": "OVERLAKE EYE DESIGNS, P.C.",
      "FirstLineMailingAddress": "15230 NE 24TH ST STE Q",
      "MailingAddressCityName": "REDMOND",
      "MailingAddressStateName": "WA",
      "MailingAddressPostalCode": "98052-5540",
      "MailingAddressCountryCode": "US",
      "MailingAddressTelephoneNumber": "425-562-2015",
      "MailingAddressFaxNumber": "425-562-2010",
      "FirstLinePracticeLocationAddress": "15230 NE 24TH ST STE Q",
      "PracticeLocationAddressCityName": "REDMOND",
      "PracticeLocationAddressStateName": "WA",
      "PracticeLocationAddressPostalCode": "98052-5540",
      "PracticeLocationAddressCountryCode": "US",
      "PracticeLocationAddressTelephoneNumber": "425-562-2015",
      "PracticeLocationAddressFaxNumber": "425-562-2010",
      "EnumerationDate": "10/26/2006",
      "LastUpdateDate": "07/08/2007",
      "AuthorizedOfficialLastName": "WONG",
      "AuthorizedOfficialFirstName": "TONY",
      "AuthorizedOfficialTitle": "OPTOMETRIST",
      "AuthorizedOfficialNamePrefix": "DR.",
      "AuthorizedOfficialCredential": "O.D.",
      "AuthorizedOfficialTelephoneNumber": "425-562-2015",
      "TaxonomyCode1": "152W00000X",
      "Taxonomy1": "Optometrist",
      "LicenseNumber1": "WA 3422 TX",
      "LicenseNumberStateCode1": "WA",
      "PrimaryTaxonomySwitch1": "Y",
      "HealthcareProviderTaxonomyGroup1": "193400000X SINGLE SPECIALTY  GROUP",
      "HealthcareProviderTaxonomyGroupDescription1": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
    },
    {
      "NPI": "1760539969",
      "EntityType": "Organization",
      "EIN": "N/A",
      "OrgName": "DR TIFFANY J HOLLENBECK PLLC",
      "OtherOrgName": "REDMOND RIDGE EYE CARE",
      "OtherOrgNameTypeCode": "3",
      "FirstLineMailingAddress": "22310 NE MARKETPLACE DR",
      "SecondLineMailingAddress": "SUITE 106",
      "MailingAddressCityName": "REDMOND",
      "MailingAddressStateName": "WA",
      "MailingAddressPostalCode": "98053-2038",
      "MailingAddressCountryCode": "US",
      "MailingAddressTelephoneNumber": "425-898-9222",
      "MailingAddressFaxNumber": "425-898-9225",
      "FirstLinePracticeLocationAddress": "22310 NE MARKETPLACE DR",
      "SecondLinePracticeLocationAddress": "SUITE 106",
      "PracticeLocationAddressCityName": "REDMOND",
      "PracticeLocationAddressStateName": "WA",
      "PracticeLocationAddressPostalCode": "98053-2038",
      "PracticeLocationAddressCountryCode": "US",
      "PracticeLocationAddressTelephoneNumber": "425-898-9222",
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      "PracticeLocationAddressCountryCode": "US",
      "PracticeLocationAddressTelephoneNumber": "561-204-5111",
      "PracticeLocationAddressFaxNumber": "561-204-5150",
      "EnumerationDate": "05/21/2006",
      "LastUpdateDate": "09/11/2007",
      "GenderCode": "F",
      "Gender": "Female",
      "TaxonomyCode1": "207R00000X",
      "Taxonomy1": "Internal Medicine",
      "LicenseNumber1": "ME 79876",
      "LicenseNumberStateCode1": "FL",
      "PrimaryTaxonomySwitch1": "Y"
    },
    {
      "NPI": "1326095100",
      "EntityType": "Individual",
      "IsSoleProprietor": "N",
      "LastName": "ROSBOROUGH",
      "FirstName": "RANIA",
      "MiddleName": "BAJWA",
      "Credential": "M.D.",
      "FirstLineMailingAddress": "3100 WYMAN PARK DR",
      "MailingAddressCityName": "BALTIMORE",
      "MailingAddressStateName": "MD",
      "MailingAddressPostalCode": "21211-2803",
      "MailingAddressCountryCode": "US",
      "MailingAddressTelephoneNumber": "410-338-3500",
      "FirstLinePracticeLocationAddress": "3601 SW 160TH AVE",
      "SecondLinePracticeLocationAddress": "SUITE 250",
      "PracticeLocationAddressCityName": "MIRAMAR",
      "PracticeLocationAddressStateName": "FL",
      "PracticeLocationAddressPostalCode": "33027-6308",
      "PracticeLocationAddressCountryCode": "US",
      "PracticeLocationAddressTelephoneNumber": "877-866-7123",
      "EnumerationDate": "05/27/2006",
      "LastUpdateDate": "12/10/2014",
      "GenderCode": "F",
      "Gender": "Female",
      "TaxonomyCode1": "207R00000X",
      "Taxonomy1": "Internal Medicine",
      "LicenseNumber1": "D0063732",
      "LicenseNumberStateCode1": "MD",
      "PrimaryTaxonomySwitch1": "Y",
      "TaxonomyCode2": "207Q00000X",
      "Taxonomy2": "Family Medicine",
      "LicenseNumber2": "0101257197",
      "LicenseNumberStateCode2": "VA",
      "PrimaryTaxonomySwitch2": "N"
    },
    {
      "NPI": "1528015310",
      "EntityType": "Individual",
      "IsSoleProprietor": "N",
      "LastName": "HUSSEINI",
      "FirstName": "RANIA",
      "MiddleName": "I",
      "Credential": "M.D.",
      "FirstLineMailingAddress": "111 CYPRESS ST",
      "MailingAddressCityName": "BROOKLINE",
      "MailingAddressStateName": "MA",
      "MailingAddressPostalCode": "02445-6002",
      "MailingAddressCountryCode": "US",
      "MailingAddressTelephoneNumber": "508-718-4050",
      "FirstLinePracticeLocationAddress": "20 PATRIOT PL",
      "PracticeLocationAddressCityName": "FOXBORO",
      "PracticeLocationAddressStateName": "MA",
      "PracticeLocationAddressPostalCode": "02035-1375",
      "PracticeLocationAddressCountryCode": "US",
      "PracticeLocationAddressTelephoneNumber": "508-718-4050",
      "EnumerationDate": "05/27/2006",
      "LastUpdateDate": "04/17/2012",
      "GenderCode": "F",
      "Gender": "Female",
      "TaxonomyCode1": "207R00000X",
      "Taxonomy1": "Internal Medicine",
      "LicenseNumber1": "209649",
      "LicenseNumberStateCode1": "MA",
      "PrimaryTaxonomySwitch1": "Y"
    },
    {
      "NPI": "1760429591",
      "EntityType": "Individual",
      "IsSoleProprietor": "N",
      "LastName": "RAYES-DANAN",
      "FirstName": "RANIA",
      "NamePrefix": "DR.",
      "Credential": "MD",
      "OtherLastName": "RAYES",
      "OtherFirstName": "RANIA",
      "OtherLastNameTypeCode": "1",
      "FirstLineMailingAddress": "2500 METROHEALTH DR",
      "MailingAddressCityName": "CLEVELAND",
      "MailingAddressStateName": "OH",
      "MailingAddressPostalCode": "44109-1900",
      "MailingAddressCountryCode": "US",
      "MailingAddressTelephoneNumber": "216-778-7800",
      "FirstLinePracticeLocationAddress": "2500 METROHEALTH DR",
      "PracticeLocationAddressCityName": "CLEVELAND",
      "PracticeLocationAddressStateName": "OH",
      "PracticeLocationAddressPostalCode": "44109-1900",
      "PracticeLocationAddressCountryCode": "US",
      "PracticeLocationAddressTelephoneNumber": "216-778-7800",
      "EnumerationDate": "06/01/2006",
      "LastUpdateDate": "01/30/2014",
      "GenderCode": "F",
      "Gender": "Female",
      "TaxonomyCode1": "207ZP0102X",
      "Taxonomy1": "Anatomic Pathology & Clinical Pathology",
      "LicenseNumber1": "35086346",
      "LicenseNumberStateCode1": "OH",
      "PrimaryTaxonomySwitch1": "Y",
      "OtherIdentifier1": "2687703",
      "OtherIdentifierType1": "MEDICAID",
      "OtherIdentifierState1": "OH"
    },
    {
      "NPI": "1699717660",
      "EntityType": "Individual",
      "IsSoleProprietor": "Y",
      "LastName": "AMPEY",
      "FirstName": "RANIA",
      "MiddleName": "L",
      "Credential": "LPC",
      "FirstLineMailingAddress": "5930 LOVERS LN",
      "SecondLineMailingAddress": "PREMIER NEUROPSYCHIATRY, PLC",
      "MailingAddressCityName": "PORTAGE",
      "MailingAddressStateName": "MI",
      "MailingAddressPostalCode": "49002-1673",
      "MailingAddressCountryCode": "US",
      "MailingAddressTelephoneNumber": "269-873-1611",
      "FirstLinePracticeLocationAddress": "5930 LOVERS LN",
      "SecondLinePracticeLocationAddress": "PREMIER NEUROPSYCHIATRY, PLC",
      "PracticeLocationAddressCityName": "PORTAGE",
      "PracticeLocationAddressStateName": "MI",
      "PracticeLocationAddressPostalCode": "49002-1673",
      "PracticeLocationAddressCountryCode": "US",
      "PracticeLocationAddressTelephoneNumber": "269-873-1611",
      "EnumerationDate": "06/12/2006",
      "LastUpdateDate": "12/30/2010",
      "GenderCode": "F",
      "Gender": "Female",
      "TaxonomyCode1": "101YP2500X",
      "Taxonomy1": "Professional",
      "LicenseNumber1": "6401007658",
      "LicenseNumberStateCode1": "MI",
      "PrimaryTaxonomySwitch1": "Y"
    },
    {
      "NPI": "1801839667",
      "EntityType": "Individual",
      "IsSoleProprietor": "N",
      "LastName": "ABOUJAOUDE",
      "FirstName": "RANIA",
      "Credential": "M.D.",
      "FirstLineMailingAddress": "PO BOX 1283",
      "MailingAddressCityName": "MEDFORD",
      "MailingAddressStateName": "NJ",
      "MailingAddressPostalCode": "08055-6283",
      "MailingAddressCountryCode": "US",
      "MailingAddressTelephoneNumber": "609-677-1046",
      "MailingAddressFaxNumber": "609-677-1306",
      "FirstLinePracticeLocationAddress": "200 TRENTON RD",
      "PracticeLocationAddressCityName": "BROWNS MILLS",
      "PracticeLocationAddressStateName": "NJ",
      "PracticeLocationAddressPostalCode": "08015-1705",
      "PracticeLocationAddressCountryCode": "US",
      "PracticeLocationAddressTelephoneNumber": "609-677-1046",
      "PracticeLocationAddressFaxNumber": "609-677-1306",
      "EnumerationDate": "06/13/2006",
      "LastUpdateDate": "09/15/2014",
      "GenderCode": "F",
      "Gender": "Female",
      "TaxonomyCode1": "207RI0200X",
      "Taxonomy1": "Infectious Disease",
      "LicenseNumber1": "39215",
      "LicenseNumberStateCode1": "KY",
      "PrimaryTaxonomySwitch1": "N",
      "TaxonomyCode2": "207RI0200X",
      "Taxonomy2": "Infectious Disease",
      "LicenseNumber2": "25MA07672000",
      "LicenseNumberStateCode2": "NJ",
      "PrimaryTaxonomySwitch2": "Y"
    },
    {
      "NPI": "1184645301",
      "EntityType": "Individual",
      "IsSoleProprietor": "Y",
      "LastName": "BAIK",
      "FirstName": "RANIA",
      "Credential": "D.O.",
      "FirstLineMailingAddress": "602 ROUTE 169",
      "SecondLineMailingAddress": "PO BOX 865",
      "MailingAddressCityName": "WOODSTOCK",
      "MailingAddressStateName": "CT",
      "MailingAddressPostalCode": "06281-2225",
      "MailingAddressCountryCode": "US",
      "MailingAddressTelephoneNumber": "860-821-3406",
      "MailingAddressFaxNumber": "860-821-3407",
      "FirstLinePracticeLocationAddress": "602 ROUTE 169",
      "PracticeLocationAddressCityName": "WOODSTOCK",
      "PracticeLocationAddressStateName": "CT",
      "PracticeLocationAddressPostalCode": "06281-2225",
      "PracticeLocationAddressCountryCode": "US",
      "PracticeLocationAddressTelephoneNumber": "860-821-3406",
      "PracticeLocationAddressFaxNumber": "860-821-3407",
      "EnumerationDate": "07/22/2006",
      "LastUpdateDate": "01/14/2016",
      "GenderCode": "F",
      "Gender": "Female",
      "TaxonomyCode1": "207Q00000X",
      "Taxonomy1": "Family Medicine",
      "LicenseNumber1": "000260",
      "LicenseNumberStateCode1": "CT",
      "PrimaryTaxonomySwitch1": "Y"
    },
    {
      "NPI": "1265443618",
      "EntityType": "Individual",
      "IsSoleProprietor": "N",
      "LastName": "LOUTFI",
      "FirstName": "RANIA",
      "MiddleName": "H",
      "Credential": "MD",
      "FirstLineMailingAddress": "1 COOPER PLZ",
      "SecondLineMailingAddress": "THE COOPER HOSPITALIST TEAM",
      "MailingAddressCityName": "CAMDEN",
      "MailingAddressStateName": "NJ",
      "MailingAddressPostalCode": "08103-1461",
      "MailingAddressCountryCode": "US",
      "MailingAddressTelephoneNumber": "856-342-3150",
      "MailingAddressFaxNumber": "856-968-8418",
      "FirstLinePracticeLocationAddress": "1 COOPER PLZ",
      "SecondLinePracticeLocationAddress": "THE COOPER HOSPITALIST TEAM",
      "PracticeLocationAddressCityName": "CAMDEN",
      "PracticeLocationAddressStateName": "NJ",
      "PracticeLocationAddressPostalCode": "08103-1461",
      "PracticeLocationAddressCountryCode": "US",
      "PracticeLocationAddressTelephoneNumber": "856-342-3150",
      "PracticeLocationAddressFaxNumber": "856-968-8418",
      "EnumerationDate": "08/11/2006",
      "LastUpdateDate": "06/30/2014",
      "GenderCode": "F",
      "Gender": "Female",
      "TaxonomyCode1": "207R00000X",
      "Taxonomy1": "Internal Medicine",
      "LicenseNumber1": "MA080819",
      "LicenseNumberStateCode1": "NJ",
      "PrimaryTaxonomySwitch1": "Y",
      "OtherIdentifier1": "01007800000",
      "OtherIdentifierType1": "OTHER",
      "OtherIdentifierIssuer1": "AMERICHOICE",
      "OtherIdentifier2": "0118460",
      "OtherIdentifierType2": "MEDICAID",
      "OtherIdentifierState2": "NJ",
      "OtherIdentifier3": "P00381177",
      "OtherIdentifierType3": "OTHER",
      "OtherIdentifierIssuer3": "RAIL ROAD MEDICARE",
      "OtherIdentifier4": "2798670000",
      "OtherIdentifierType4": "OTHER",
      "OtherIdentifierIssuer4": "AMERIHEALTH, HMO, KEYSTONE, IBC",
      "OtherIdentifier5": "1376273",
      "OtherIdentifierType5": "OTHER",
      "OtherIdentifierIssuer5": "AETNA US-HEALTHCARE",
      "OtherIdentifier6": "44132",
      "OtherIdentifierType6": "OTHER",
      "OtherIdentifierIssuer6": "UNIVERSITY HEALTH PLAN",
      "OtherIdentifier7": "60027465",
      "OtherIdentifierType7": "OTHER",
      "OtherIdentifierIssuer7": "HORIZON NJ HEALTH",
      "OtherIdentifier8": "3K6229",
      "OtherIdentifierType8": "OTHER",
      "OtherIdentifierIssuer8": "HEALTHNET",
      "OtherIdentifier9": "6761897",
      "OtherIdentifierType9": "OTHER",
      "OtherIdentifierIssuer9": "CIGNA"
    }
  ]
}

Done. Press any key to exit ...

Full Text Search Fundamentals

Facts

Everybody uses full text search. Full-text search is the most common technique used in search engines. The amount of information has just become too much to access it using navigation and categories alone. Full-text search reduces the hassle of searching for a keyword in huge amounts of metadata, such as the World Wide Web and commercial-scale databases. Full-text search became popular in late 1990s, when the Internet and Big Data began to became a part of everyday life.

How does it work

Users only provide keywords and expect the search engine to provide good results. Relevancy of documents is expected to be good and users want the results they are looking to be present in the top ten. How relevant a document is search engine decides based on scientifically proven algorithms. Besides getting the best results the user wants to be supported during the search process. Features like suggestions and highlighting on the result excerpt can help with this.

Full Text Search & DataLabs REST API

DataLabs REST API allows you to search the full text of healthcare providers database (NPI Registry). To find the information you need and make your search easy, please use our REST API for automation, or visit our NPI Lookup page for manual search ( NPI Number Lookup). We are still improving and enhancing Full Text NPI Search based on users feedbacks. Please email your comments and suggestions for improvement using our feedback page.

Use Case #2 - I Need to Find Detailed Healthcare Provider Information Using Known NPI Number

This is very common scenario. You need to get full replica of NPI record. Again, it simple. Just use code provided below. API response may contain single NPI record, or empty list in case NPI does not exist in the CMS National Plan and Provider Enumeration System (NPPES) Registry. 

                
    //--------------------------------------------------------------------------------------
    // Perform "getcode" operation to get healthcare provider information using NPI number.
    //--------------------------------------------------------------------------------------
    using System;
    using System.Net.Http;
    using System.Threading.Tasks;

    public class Program
    {
        private const string token = "3932f3b0-cfab-11dc-95ff-0800200c9a663932f3b0-cfab-11dc-95ff-0800200c9a66";

        static async Task Main(string[] args)
        {
            string endPoint = $"https://www.datalabs.health/api/npi/getcode?q=1285636522&token={token}";
            using HttpClient client = new HttpClient();
            string response = await client.GetStringAsync(endPoint);

            Console.WriteLine(response);

            Console.WriteLine("Done. Press any key to exit ...");
            Console.ReadKey();
        }
    }

Output

                
    {
      "NPI": [
        {
          "NPI": "1285636522",
          "EntityType": "Organization",
          "EIN": "N/A",
          "IsOrgSubpart": "N",
          "OrgName": "MEDSTAR GEORGETOWN MEDICAL CENTER, INC",
          "FirstLineMailingAddress": "PO BOX 418283",
          "MailingAddressCityName": "BOSTON",
          "MailingAddressStateName": "MA",
          "MailingAddressPostalCode": "02241-8283",
          "MailingAddressCountryCode": "US",
          "FirstLinePracticeLocationAddress": "3800 RESERVOIR RD NW",
          "PracticeLocationAddressCityName": "WASHINGTON",
          "PracticeLocationAddressStateName": "DC",
          "PracticeLocationAddressPostalCode": "20007-2113",
          "PracticeLocationAddressCountryCode": "US",
          "PracticeLocationAddressTelephoneNumber": "888-896-1400",
          "EnumerationDate": "06/01/2005",
          "LastUpdateDate": "11/25/2011",
          "AuthorizedOfficialLastName": "SCHNEIDER",
          "AuthorizedOfficialFirstName": "STEPHANIE",
          "AuthorizedOfficialTitle": "VP",
          "AuthorizedOfficialTelephoneNumber": "703-558-1403",
          "TaxonomyCode1": "207R00000X",
          "Taxonomy1": "Internal Medicine",
          "LicenseNumber1": "=========",
          "LicenseNumberStateCode1": "DC",
          "PrimaryTaxonomySwitch1": "Y",
          "OtherIdentifier1": "W677",
          "OtherIdentifierType1": "OTHER",
          "OtherIdentifierState1": "DC",
          "OtherIdentifierIssuer1": "BLUE SHIELD ADULT PCP GRP",
          "OtherIdentifier2": "027174100",
          "OtherIdentifierType2": "MEDICAID",
          "OtherIdentifierState2": "DC",
          "OtherIdentifier3": "097005100",
          "OtherIdentifierType3": "MEDICAID",
          "OtherIdentifierState3": "MD",
          "OtherIdentifier4": "442AGE",
          "OtherIdentifierType4": "OTHER",
          "OtherIdentifierState4": "MD",
          "OtherIdentifierIssuer4": "BLUE SHIELD PEDS PCP GRP#",
          "OtherIdentifier5": "6572",
          "OtherIdentifierType5": "OTHER",
          "OtherIdentifierState5": "DC",
          "OtherIdentifierIssuer5": "BLUE SHIELD GROUP NUMBER",
          "OtherIdentifier6": "W675",
          "OtherIdentifierType6": "OTHER",
          "OtherIdentifierState6": "DC",
          "OtherIdentifierIssuer6": "BLUE SHIELD PEDS PCP GRP#",
          "HealthcareProviderTaxonomyGroup1": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription1": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
    Done. Press any key to exit ...

Use Case #3 - I Need to Get Multiple Healthcare Providers Using List of NPI Numbers

You may need to perform bulk search for performance optimization. The "getcodes" operation allows you to decrease number of round trips in orders of magnitude. For instance you can get information about hundred NPI in one REST call, instead of sending NPI numbers one-by-one. 

                
    //--------------------------------------------------------------------------------------
    // Perform "getcodes" operation to get multiple healthcare providers using list of NPIs. 
    //--------------------------------------------------------------------------------------
    using System;
    using System.Net.Http;
    using System.Threading.Tasks;

    public class Program
    {
        private const string token = "3932f3b0-cfab-11dc-95ff-0800200c9a663932f3b0-cfab-11dc-95ff-0800200c9a66";

        static async Task Main(string[] args)
        {
            string endPoint = $"https://www.datalabs.health/api/npi/getcodes?q=1285636522,1730198755,1427145176&rt=minjson&token={token}";
            using HttpClient client = new HttpClient();
            string response = await client.GetStringAsync(endPoint);

            Console.WriteLine(response);

            Console.WriteLine("Done. Press any key to exit ...");
            Console.ReadKey();
        }
    }

Output

                
    {
      "NPI": [
        {
          "NPI": "1285636522",
          "OrgName": "MEDSTAR GEORGETOWN MEDICAL CENTER, INC",
          "FirstLinePracticeLocationAddress": "3800 RESERVOIR RD NW",
          "PracticeLocationAddressCityName": "WASHINGTON",
          "PracticeLocationAddressStateName": "DC",
          "PracticeLocationAddressPostalCode": "20007-2113",
          "PracticeLocationAddressCountryCode": "US",
          "PracticeLocationAddressTelephoneNumber": "888-896-1400"
        },
        {
          "NPI": "1730198755",
          "OrgName": "MEDSTAR GEORGETOWN MEDICAL CENTER",
          "FirstLinePracticeLocationAddress": "3800 RESERVOIR RD NW",
          "PracticeLocationAddressCityName": "WASHINGTON",
          "PracticeLocationAddressStateName": "DC",
          "PracticeLocationAddressPostalCode": "20007-2113",
          "PracticeLocationAddressCountryCode": "US",
          "PracticeLocationAddressTelephoneNumber": "888-896-1400"
        },
        {
          "NPI": "1427145176",
          "OrgName": "MEDSTAR - GEORGETOWN MEDICAL CENTER, INC.",
          "OtherOrgName": "GEORGETOWN UNIVERSITY HOSPITAL",
          "OtherOrgNameTypeCode": "3",
          "FirstLinePracticeLocationAddress": "3800 RESERVOIR RD., NW",
          "PracticeLocationAddressCityName": "WASHINGTON",
          "PracticeLocationAddressStateName": "DC",
          "PracticeLocationAddressPostalCode": "20007-2113",
          "PracticeLocationAddressCountryCode": "US",
          "PracticeLocationAddressTelephoneNumber": "202-444-3000",
          "PracticeLocationAddressFaxNumber": "202-444-3095"
        }
      ]
    }
    Done. Press any key to exit ...

Use Case #4 - I Need to Check NPI Number Status

Again, very common scenario. You just need to check NPI number status. It is simple. Take a look at the code below. Expected result contains requested NPI number, status, and short status description. 

                
    //--------------------------------------------------------------------------------------
    // Perform "check_status" operation to get NPI Number status (active, deactivated, etc).
    //--------------------------------------------------------------------------------------
    using System;
    using System.Net.Http;
    using System.Threading.Tasks;

    public class Program
    {
        private const string token = "3932f3b0-cfab-11dc-95ff-0800200c9a663932f3b0-cfab-11dc-95ff-0800200c9a66";

        static async Task Main(string[] args)
        {
            string endPoint = $"https://www.datalabs.health/api/npi/check_status?q=1285636522&token={token}";
            using HttpClient client = new HttpClient();
            string response = await client.GetStringAsync(endPoint);

            Console.WriteLine(response);

            Console.WriteLine("Done. Press any key to exit ...");
            Console.ReadKey();
        }
    }

Output

                
    {
      "Code": "1285636522",
      "Status": "Active",
      "Message": "\"1285636522\" NPI Number does exist and has \"active\" status"
    }
                
    Done. Press any key to exit ...

Use Case #5 - I need to retrieve a list of healthcare providers based on specified search parameters.

The system allows users to retrieve a list of healthcare providers by filtering on specified fields (e.g., organization name, state, city, ZIP code, etc.). The example below demonstrates how to retrieve all providers with a specified city, state, and ZIP code. 

                
    //--------------------------------------------------------------------------------------
    // Perform "search_with_predicates" operation to get multiple healthcare providers using specified city, state, and ZIP code. 
    //--------------------------------------------------------------------------------------
    using System;
    using System.Net.Http;
    using System.Threading.Tasks;

    public class Program
    {
        private const string token = "3932f3b0-cfab-11dc-95ff-0800200c9a663932f3b0-cfab-11dc-95ff-0800200c9a66";

        static async Task Main(string[] args)
        {
            string endPoint = $"https://www.datalabs.health/api/npi/search_with_predicates?q=&qf=City:true:REDMOND&qf=State:true:OR&qf=Zip:true:97756-9069&rt=json&token={token}";
            using HttpClient client = new HttpClient();
            string response = await client.GetStringAsync(endPoint);

            Console.WriteLine(response);

            Console.WriteLine("Done. Press any key to exit ...");
            Console.ReadKey();
        }
    }

Output

                
{
  "NPI": [
    {
      "NPI": "1083349906",
      "EntityType": "Individual",
      "IsSoleProprietor": "N",
      "LastName": "STAFFORD",
      "FirstName": "KADY",
      "NamePrefix": "MS.",
      "Credential": "LPC",
      "FirstLineMailingAddress": "13574 SW HIGHWAY 126",
      "MailingAddressCityName": "POWELL BUTTE",
      "MailingAddressStateName": "OR",
      "MailingAddressPostalCode": "97753-1541",
      "MailingAddressCountryCode": "US",
      "MailingAddressTelephoneNumber": "541-480-6360",
      "FirstLinePracticeLocationAddress": "6396 SW MCVEY AVE",
      "PracticeLocationAddressCityName": "REDMOND",
      "PracticeLocationAddressStateName": "OR",
      "PracticeLocationAddressPostalCode": "97756-9069",
      "PracticeLocationAddressCountryCode": "US",
      "PracticeLocationAddressTelephoneNumber": "541-203-0307",
      "EnumerationDate": "07/24/2022",
      "LastUpdateDate": "04/21/2025",
      "GenderCode": "F",
      "Gender": "Female",
      "TaxonomyCode1": "101YP2500X",
      "Taxonomy1": "Professional Counselor",
      "LicenseNumber1": "LPC6225",
      "LicenseNumberStateCode1": "ID",
      "PrimaryTaxonomySwitch1": "N",
      "TaxonomyCode2": "101YP2500X",
      "Taxonomy2": "Professional Counselor",
      "LicenseNumber2": "C9084",
      "LicenseNumberStateCode2": "OR",
      "PrimaryTaxonomySwitch2": "Y",
      "CertificationDate": "04/21/2025",
      "PrimaryTaxonomyCode": "101YP2500X",
      "PrimaryTaxonomy": "Professional Counselor"
    },
    {
      "NPI": "1215724679",
      "EntityType": "Individual",
      "IsSoleProprietor": "N",
      "LastName": "SCHAY",
      "FirstName": "ANGELICA",
      "MiddleName": "NICOLE",
      "FirstLineMailingAddress": "6396 SW MCVEY AVE",
      "MailingAddressCityName": "REDMOND",
      "MailingAddressStateName": "OR",
      "MailingAddressPostalCode": "97756-9069",
      "MailingAddressCountryCode": "US",
      "MailingAddressTelephoneNumber": "541-389-1841",
      "FirstLinePracticeLocationAddress": "6396 SW MCVEY AVE",
      "PracticeLocationAddressCityName": "REDMOND",
      "PracticeLocationAddressStateName": "OR",
      "PracticeLocationAddressPostalCode": "97756-9069",
      "PracticeLocationAddressCountryCode": "US",
      "PracticeLocationAddressTelephoneNumber": "541-389-1841",
      "EnumerationDate": "04/21/2025",
      "LastUpdateDate": "04/21/2025",
      "GenderCode": "F",
      "Gender": "Female",
      "TaxonomyCode1": "101Y00000X",
      "Taxonomy1": "Counselor",
      "PrimaryTaxonomySwitch1": "Y",
      "CertificationDate": "04/21/2025",
      "PrimaryTaxonomyCode": "101Y00000X",
      "PrimaryTaxonomy": "Counselor"
    },
    {
      "NPI": "1013556505",
      "EntityType": "Individual",
      "IsSoleProprietor": "N",
      "LastName": "IVENS",
      "FirstName": "KRYSTA",
      "FirstLineMailingAddress": "743 NW QUINCE AVE",
      "MailingAddressCityName": "REDMOND",
      "MailingAddressStateName": "OR",
      "MailingAddressPostalCode": "97756-1250",
      "MailingAddressCountryCode": "US",
      "MailingAddressTelephoneNumber": "360-526-1448",
      "FirstLinePracticeLocationAddress": "6396 SW MCVEY AVE",
      "PracticeLocationAddressCityName": "REDMOND",
      "PracticeLocationAddressStateName": "OR",
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}
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