| Section | C | Nuclear Medicine |
| Body System | H | Skin, Subcutaneous Tissue and Breast |
| Type | 2 | Tomographic (Tomo) Nuclear Medicine Imaging: Introduction of radioactive materials into the body for three dimensional display of images developed from the capture of radioactive emissions |
| Body Part 0 Breast, Right 1 Breast, Left 2 Breasts, Bilateral |
Radionuclide 1 Technetium 99m (Tc-99m) S Thallium 201 (Tl-201) Y Other Radionuclide |
Qualifier Z None |
Qualifier Z None |
| Body Part Y Skin, Subcutaneous Tissue and Breast |
Radionuclide Y Other Radionuclide |
Qualifier Z None |
Qualifier Z None |