A9587 HCPCS code: Gallium ga-68, dotatate, diagnostic, 0.1 millicurie
A9587 is the HCPCS Level II code for gallium ga-68, dotatate, diagnostic, 0.1 millicurie. In 2024 Medicare paid an average of $73.07 per service for A9587 across 146,466 services. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. The NCCI unit limit is 54 per day on outpatient hospital claims. Medicare volume rose 28% from 2022 to 2024 (114,336 to 146,466 services). In 2024, about 855 clinicians billed Medicare for A9587 for 3,490 beneficiaries; California, New York, Florida accounted for 49% of services.
Code details
| Field | Value |
|---|---|
| Section | A codes — Transportation, medical/surgical supplies and miscellaneous |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 57 |
| BETOS category | I1E |
| Added | 2017-01-01 |
| Last action effective | 2025-01-01 |
Who bills A9587 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 855 |
| Medicare beneficiaries | 3,490 |
| States with claims | 32 |
| Share of services in top 3 states (California, New York, Florida) | 49% |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for A9587, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 114,336 | 2,716 | $91.21 | $72.79 |
| 2023 | 131,637 | 2,978 | $86.15 | $68.63 |
| 2024 | 146,466 | 3,490 | $91.73 | $73.07 |
States with the most A9587 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| California | 30,702 | $49.32 |
| New York | 23,746 | $53.88 |
| Florida | 16,314 | $48.09 |
| Alabama | 14,127 | $48.32 |
| Massachusetts | 8,127 | $46.49 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 54 | Prescribing Information |
| practitioner claims | 54 | Prescribing Information |
What changed for A9587
- 2017-01-01: A9587 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 A9587?
A9587 is the HCPCS Level II code for gallium ga-68, dotatate, diagnostic, 0.1 millicurie. Short descriptor: "Gallium ga-68".
How much does Medicare pay for A9587?
In 2024, the average Medicare payment was $73.07 per service (average allowed $91.73).
Does Medicare cover A9587?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
How many units of A9587 can be billed per day?
54 on outpatient hospital claims; 54 on practitioner claims (NCCI medically unlikely edits).
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Next steps
- Run a reimbursement report for a device billed under A9587
- Watch A9587 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for A9587
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.