A9592 HCPCS code: Copper cu-64, dotatate, diagnostic, 1 millicurie
A9592 is the HCPCS Level II code for copper cu-64, dotatate, diagnostic, 1 millicurie. In 2024 Medicare paid an average of $1,008.02 per service for A9592 across 4,784 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 4 per day on outpatient hospital claims. Medicare volume rose 94% from 2022 to 2024 (2,464 to 4,784 services). In 2024, about 371 clinicians billed Medicare for A9592 for 1,265 beneficiaries; Florida, California, New York accounted for 48% 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 | 2021-04-01 |
| Last action effective | 2025-01-01 |
Who bills A9592 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 371 |
| Medicare beneficiaries | 1,265 |
| States with claims | 27 |
| Share of services in top 3 states (Florida, California, New York) | 48% |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for A9592, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 2,464 | 718 | $1,273.23 | $1,015.78 |
| 2023 | 3,657 | 944 | $1,471.53 | $1,172.33 |
| 2024 | 4,784 | 1,265 | $1,265.15 | $1,008.02 |
States with the most A9592 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Florida | 1,145 | $833.90 |
| California | 563 | $857.82 |
| New York | 463 | $876.68 |
| Illinois | 441 | $858.62 |
| Tennessee | 281 | $1,054.30 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 4 | Prescribing Information |
| practitioner claims | 4 | Prescribing Information |
What changed for A9592
- 2021-04-01: A9592 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 A9592?
A9592 is the HCPCS Level II code for copper cu-64, dotatate, diagnostic, 1 millicurie. Short descriptor: "Copper cu 64 dotatate diag".
How much does Medicare pay for A9592?
In 2024, the average Medicare payment was $1,008.02 per service (average allowed $1,265.15).
Does Medicare cover A9592?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
How many units of A9592 can be billed per day?
4 on outpatient hospital claims; 4 on practitioner claims (NCCI medically unlikely edits).
Related A95 codes
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Next steps
- Run a reimbursement report for a device billed under A9592
- Watch A9592 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for A9592
Sources: CMS HCPCS Level II release October 2025; 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.