A9800 HCPCS code: Gallium ga-68 gozetotide, diagnostic, (locametz), 1 millicurie
A9800 is the HCPCS Level II code for gallium ga-68 gozetotide, diagnostic, (locametz), 1 millicurie. In 2024 Medicare paid an average of $842.11 per service for A9800 across 7,667 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 7 per day on outpatient hospital claims. Medicare volume rose 413% from 2022 to 2024 (1,495 to 7,667 services). In 2024, about 73 clinicians billed Medicare for A9800 for 1,339 beneficiaries; Oklahoma, Florida, Alabama accounted for 79% 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 | 2022-10-01 |
| Last action effective | 2022-10-01 |
Who bills A9800 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 73 |
| Medicare beneficiaries | 1,339 |
| States with claims | 8 |
| Share of services in top 3 states (Oklahoma, Florida, Alabama) | 79% |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for A9800, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 1,495 | 233 | $701.37 | $558.82 |
| 2023 | 4,810 | 895 | $953.75 | $759.49 |
| 2024 | 7,667 | 1,339 | $1,056.96 | $842.11 |
States with the most A9800 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Oklahoma | 3,370 | $1,019.79 |
| Florida | 1,753 | $708.59 |
| Alabama | 810 | $707.87 |
| New York | 640 | $646.27 |
| Georgia | 449 | $727.64 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 7 | Prescribing Information |
| practitioner claims | 7 | Prescribing Information |
What changed for A9800
- 2022-10-01: A9800 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 A9800?
A9800 is the HCPCS Level II code for gallium ga-68 gozetotide, diagnostic, (locametz), 1 millicurie. Short descriptor: "Gallium locametz 1 millicuri".
How much does Medicare pay for A9800?
In 2024, the average Medicare payment was $842.11 per service (average allowed $1,056.96).
Does Medicare cover A9800?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
How many units of A9800 can be billed per day?
7 on outpatient hospital claims; 7 on practitioner claims (NCCI medically unlikely edits).
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Next steps
- Run a reimbursement report for a device billed under A9800
- Watch A9800 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for A9800
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.