A9602 HCPCS code: Fluorodopa f-18, diagnostic, per millicurie
A9602 is the HCPCS Level II code for fluorodopa f-18, diagnostic, per millicurie. In 2024 Medicare paid an average of $505.05 per service for A9602 across 68 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 5 per day on outpatient hospital claims. In 2024, about 5 clinicians billed Medicare for A9602 for 16 beneficiaries.
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 | 2022-10-01 |
| Last action effective | 2022-10-01 |
Who bills A9602 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 5 |
| Medicare beneficiaries | 16 |
| States with claims | 1 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for A9602, 2024–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2024 | 68 | 16 | $633.89 | $505.05 |
States with the most A9602 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| New York | 68 | $505.05 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 5 | Prescribing Information |
| practitioner claims | 5 | Prescribing Information |
What changed for A9602
- 2022-10-01: A9602 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 A9602?
A9602 is the HCPCS Level II code for fluorodopa f-18, diagnostic, per millicurie. Short descriptor: "Fluorodopa f-18 diag per mci".
How much does Medicare pay for A9602?
In 2024, the average Medicare payment was $505.05 per service (average allowed $633.89).
Does Medicare cover A9602?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
How many units of A9602 can be billed per day?
5 on outpatient hospital claims; 5 on practitioner claims (NCCI medically unlikely edits).
Related A96 codes
- A9600 — Strontium sr-89 chloride, therapeutic, per millicurie
- A9601 — Flortaucipir f 18 injection, diagnostic, 1 millicurie
- A9603 — Injection, pafolacianine, 0.1 mg
- A9604 — Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries
- A9606 — Radium ra-223 dichloride, therapeutic, per microcurie
- A9607 — Lutetium lu 177 vipivotide tetraxetan, therapeutic, 1 millicurie
- A9608 — Flotufolastat f 18, diagnostic, 1 millicurie
- A9609 — Fludeoxyglucose f18 up to 15 millicuries
- A9610 — Xenon xe-129 hyperpolarized gas, diagnostic, per study dose
- A9611 — Flurpiridaz f 18, diagnostic, 1 millicurie
- A9612 — Injection, fluorescein, 1 mg
- A9613 — Piflufolastat f 18 (pylarify truvu), diagnostic, 1 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 A9602
- Watch A9602 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for A9602
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.