HCPCS code A9596 — Gallium illuccix 1 millicure. Status: Active. Effective Jul 1, 2022. Source: CMS HCPCS Level II.

A9596

Active

Gallium illuccix 1 millicure

Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie

Category: Transportation & Supplies
Section: A-codes: Transportation, Medical & Surgical Supplies
Effective: Jul 1, 2022
Code type: alphanumeric
OPPS Status: K — Non-pass-through drugs and biologicals
OPPS APC: 9443

MUE — Medically Unlikely Edits

Maximum units of A9596 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.

Service Type Max Units / Day
Outpatient Hospital 7
Practitioner Services 7

Source: CMS Medicare NCCI Medically Unlikely Edits

Change History

Quarterly changes published by CMS. Revisions may affect the code description, coverage, or rate — review each quarter's changes before submitting claims.

  • New Code 2022-Q3
    Gallium illuccix 1 millicure