A9608 HCPCS code: Flotufolastat f 18, diagnostic, 1 millicurie
A9608 is the HCPCS Level II code for flotufolastat f 18, diagnostic, 1 millicurie. In 2024 Medicare paid an average of $647.27 per service for A9608 across 16,870 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 8 per day on outpatient hospital claims. In 2024, about 298 clinicians billed Medicare for A9608 for 2,642 beneficiaries; Florida, Arkansas, Tennessee accounted for 45% 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 | 2024-01-01 |
| Last action effective | 2024-01-01 |
Who bills A9608 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 298 |
| Medicare beneficiaries | 2,642 |
| States with claims | 23 |
| Share of services in top 3 states (Florida, Arkansas, Tennessee) | 45% |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for A9608, 2024–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2024 | 16,870 | 2,642 | $812.15 | $647.27 |
States with the most A9608 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Florida | 3,235 | $524.81 |
| Arkansas | 2,252 | $624.94 |
| Tennessee | 1,935 | $538.21 |
| Texas | 1,483 | $1,443.57 |
| Virginia | 1,107 | $579.08 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 8 | Prescribing Information |
| practitioner claims | 8 | Prescribing Information |
What changed for A9608
- 2024-01-01: A9608 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 A9608?
A9608 is the HCPCS Level II code for flotufolastat f 18, diagnostic, 1 millicurie. Short descriptor: "Flotufolastat f18 diag 1 mci".
How much does Medicare pay for A9608?
In 2024, the average Medicare payment was $647.27 per service (average allowed $812.15).
Does Medicare cover A9608?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
How many units of A9608 can be billed per day?
8 on outpatient hospital claims; 8 on practitioner claims (NCCI medically unlikely edits).
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Next steps
- Run a reimbursement report for a device billed under A9608
- Watch A9608 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for A9608
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.