A9588 – Fluciclovine f-18, diagnostic, 1 millicurie

Long description

Fluciclovine f-18, diagnostic, 1 millicurie

Short description

Fluciclovine f-18

Pricing indicator

57 Other carrier priced

Medicare coverage

C Carrier judgment – coverage decided by the Medicare contractor

BETOS category

I1E Standard imaging - nuclear medicine

ASC

Approved for ambulatory surgical centers

Added

January 1, 2017

Last change

January 1, 2025 – No change

Nearby A codes

• A9580 – Sodium fluoride f-18, diagnostic, per study dose, up to 30 millicuries
• A9581 – Injection, gadoxetate disodium, 1 ml
• A9582 – Iodine i-123 iobenguane, diagnostic, per study dose, up to 15 millicuries
• A9583 – Injection, gadofosveset trisodium, 1 ml
• A9584 – Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries
• A9585 – Injection, gadobutrol, 0.1 ml
• A9586 – Florbetapir f18, diagnostic, per study dose, up to 10 millicuries
• A9587 – Gallium ga-68, dotatate, diagnostic, 0.1 millicurie
• A9589 – Instillation, hexaminolevulinate hydrochloride, 100 mg
• A9590 – Iodine i-131, iobenguane, 1 millicurie
• A9591 – Fluoroestradiol f 18, diagnostic, 1 millicurie
• A9592 – Copper cu-64, dotatate, diagnostic, 1 millicurie
• A9593 – Gallium ga-68 psma-11, diagnostic, (ucsf), 1 millicurie
• A9594 – Gallium ga-68 psma-11, diagnostic, (ucla), 1 millicurie
• A9595 – Piflufolastat f 18 (pylarify), diagnostic, 1 millicurie
• A9596 – Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie