A9616 HCPCS code: Gallium ga-68 gozetotide (gozellix), diagnostic, 1 millicurie
A9616 is the HCPCS Level II code for gallium ga-68 gozetotide (gozellix), diagnostic, 1 millicurie. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case.
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 | 2025-10-01 |
| Last action effective | 2025-10-01 |
What changed for A9616
- October 2025: Code appears in this HCPCS release
- 2025-10-01: A9616 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 A9616?
A9616 is the HCPCS Level II code for gallium ga-68 gozetotide (gozellix), diagnostic, 1 millicurie. Short descriptor: "Gallium gozellix 1 millicuri".
Does Medicare cover A9616?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Related A96 codes
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- 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
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Next steps
- Run a reimbursement report for a device billed under A9616
- Watch A9616 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for A9616
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.