A9616 Gallium gozellix 1 millicuri
Also known as: gozetotide imaging agent, gallium tracer
Gallium gozetotide, 1 millicurie radiopharmaceutical diagnostic imaging agent for positron emission tomography (PET) and single photon emission computed tomography (SPECT) imaging.
In Plain Language
radioactive imaging tracer for infection and inflammation
Clinical Context
Used in PET/SPECT imaging to detect infections, inflammatory lesions, and neuroendocrine tumors with high target specificity and rapid clearance.
RVU Information
CPT A9616 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
Frequently Asked Questions
What is CPT code A9616?
CPT A9616 (Gallium gozellix 1 millicuri) is a A Codes code. Gallium gozetotide, 1 millicurie radiopharmaceutical diagnostic imaging agent for positron emission tomography (PET) and single photon emission computed tomography (SPECT) imaging.
Does Medicare cover A9616?
Medicare coverage for A9616 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Used in PET/SPECT imaging to detect infections, inflammatory lesions, and neuroendocrine tumors with high target specificity and rapid clearance. A physician order is typically required.
When is CPT A9616 used?
Used in PET/SPECT imaging to detect infections, inflammatory lesions, and neuroendocrine tumors with high target specificity and rapid clearance.
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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.