Table of content for "Gallium gozellix 1 millicuri" (HCPCS A9616)
General information on the “A9616” code
HCPCS Code: A9616
Long Description: Gallium ga-68 gozetotide (gozellix), diagnostic, 1 millicurie
Short Description: Gallium gozellix 1 millicuri
Original information is taken from A9616 page
Pricing indicators
Pricing Indicator Code 1: 57 – Other carrier priced
Multiple Pricing Indicator Code A : Not applicable as HCPCS priced under one methodology
Certification and additional reference information
Coverage
Coverage: C – Carrier judgment
ASC Payment Group: YY
ASC Payment Group Effective Date: 20251001
Type of service
Berenson-Eggers Type of Service (BETOS): I1E – Standard imaging - nuclear medicine
Type Of Service 1: 4 – Diagnostic radiology
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 20251001
Code Effective Date: 20251001
Action Code: A – Add procedure or modifier code