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A9595 Piflu f-18, dia 1 millicurie

A Codes

Also known as: PylariumFil, piflufolastat, F-18 PSMA

Piflufolastat F-18 diagnostic injection at 1 millicurie activity used as a positron emission tomography tracer for prostate cancer imaging.

In Plain Language

prostate cancer PET tracer; prostate imaging dye

Clinical Context

Used in PET imaging for detection of prostate-specific membrane antigen expression in prostate cancer.

RVU Information

CPT A9595 does not have a physician work RVU assigned by CMS. This is typical for supply, drug, and equipment codes — reimbursement is based on Average Sales Price (ASP), fee schedules, or payer contracts rather than the RVU system.

Billing & Documentation

HCPCS A-codes cover medical supplies, equipment, and transport services. Documentation must establish medical necessity and include a physician order. For durable medical equipment (DME), a Certificate of Medical Necessity (CMN) or detailed written order may be required.

Specialties

Nuclear MedicineOncologyUrology

Frequently Asked Questions

What is CPT code A9595?

CPT A9595 (Piflu f-18, dia 1 millicurie) is a A Codes code. Piflufolastat F-18 diagnostic injection at 1 millicurie activity used as a positron emission tomography tracer for prostate cancer imaging.

Does Medicare cover A9595?

Medicare coverage for A9595 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Used in PET imaging for detection of prostate-specific membrane antigen expression in prostate cancer. A physician order is typically required.

When is CPT A9595 used?

Used in PET imaging for detection of prostate-specific membrane antigen expression in prostate cancer.

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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.