A9586 HCPCS code: Florbetapir f18, diagnostic, per study dose, up to 10 millicuries
A9586 is the HCPCS Level II code for florbetapir f18, diagnostic, per study dose, up to 10 millicuries. In 2024 Medicare paid an average of $2,514.92 per service for A9586 across 10,099 services. Its Medicare coverage code is D (Special coverage instructions apply): Medicare covers it when its national or local coverage criteria are met. The NCCI unit limit is 1 per day on outpatient hospital claims. Medicare volume rose 2608% from 2022 to 2024 (373 to 10,099 services). In 2024, about 388 clinicians billed Medicare for A9586 for 10,069 beneficiaries; California, Florida, New York accounted for 46% of services.
Code details
| Field | Value |
|---|---|
| Section | A codes — Transportation, medical/surgical supplies and miscellaneous |
| Coverage code | D — Special coverage instructions apply |
| Pricing indicator | 00 — Not separately priced by Medicare |
| BETOS category | I1E |
| Added | 2013-01-01 |
| Last action effective | 2025-01-01 |
Who bills A9586 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 388 |
| Medicare beneficiaries | 10,069 |
| States with claims | 29 |
| Share of services in top 3 states (California, Florida, New York) | 46% |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for A9586, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 373 | 373 | $3,382.08 | $2,704.34 |
| 2023 | 566 | 566 | $3,652.40 | $2,913.77 |
| 2024 | 10,099 | 10,069 | $3,153.92 | $2,514.92 |
States with the most A9586 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| California | 2,061 | $2,550.45 |
| Florida | 1,747 | $2,471.63 |
| New York | 803 | $2,683.41 |
| New Jersey | 669 | $2,430.68 |
| Texas | 660 | $2,546.93 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 1 | Code Descriptor / CPT Instruction |
| practitioner claims | 1 | Code Descriptor / CPT Instruction |
What changed for A9586
- 2013-01-01: A9586 added to HCPCS Level II
- Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01
Frequently asked questions
What is HCPCS code A9586?
A9586 is the HCPCS Level II code for florbetapir f18, diagnostic, per study dose, up to 10 millicuries. Short descriptor: "Florbetapir f18".
How much does Medicare pay for A9586?
In 2024, the average Medicare payment was $2,514.92 per service (average allowed $3,153.92).
Does Medicare cover A9586?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
How many units of A9586 can be billed per day?
1 on outpatient hospital claims; 1 on practitioner claims (NCCI medically unlikely edits).
Related A95 codes
- A9500 — Technetium tc-99m sestamibi, diagnostic, per study dose
- A9501 — Technetium tc-99m teboroxime, diagnostic, per study dose
- A9502 — Technetium tc-99m tetrofosmin, diagnostic, per study dose
- A9503 — Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries
- A9504 — Technetium tc-99m apcitide, diagnostic, per study dose, up to 20 millicuries
- A9505 — Thallium tl-201 thallous chloride, diagnostic, per millicurie
- A9506 — Graphite crucible for preparation of technetium tc 99m-labeled carbon aerosol, one crucible
- A9507 — Indium in-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuries
- A9508 — Iodine i-131 iobenguane sulfate, diagnostic, per 0.5 millicurie
- A9509 — Iodine i-123 sodium iodide, diagnostic, per millicurie
- A9510 — Technetium tc-99m disofenin, diagnostic, per study dose, up to 15 millicuries
- A9512 — Technetium tc-99m pertechnetate, diagnostic, per millicurie
Building a device that would bill under a code like this? Caduvo matches a device description to HCPCS/CPT codes, Medicare coverage and payment, and the FDA pathway in one report.
Next steps
- Run a reimbursement report for a device billed under A9586
- Watch A9586 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for A9586
Sources: CMS HCPCS Level II release October 2026; CMS DMEPOS fee schedule; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.