AXUMIN A Code: A9588
Fluciclovine f-18, diagnostic, 1 millicurie
Drug & Product Overview
About AXUMIN
Axumin is a medication aligned to the HCPCS A Code: A9588 for billing, pricing, and reimbursement purposes in the United States. This Imaging/Radiopharmaceutical medication is administered via the intravenous route and manufactured by Blue Earth Diagnostics.
Manufacturers, reach out to us to add more information.
NDC Code Information
1 NDC package is crosswalked to A9588. Package detail is available to logged-in subscribers.
| NDC Code | Drug | Manufacturer | Billing Units / Pkg | Package Size |
|---|---|---|---|---|
| •••••-••••-•• Log in to view | AXUMIN | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
AXUMIN Pricing & Reimbursement
National median reimbursement across major commercial payers.
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AXUMIN CPT Administration Codes
The below list of CPT codes is intended for informational purposes only and may not be exhaustive. CPT® codes and descriptions are copyright American Medical Association (AMA). All rights reserved.
| CPT Code | Description |
|---|---|
| 78811 | Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck) |
| 78812 | Positron emission tomography (PET) imaging; skull base to mid-thigh |
| 78813 Login for More | Tumor imaging, positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization; whole body. Login for More |
| 78814 Login for More | Tumor imaging, positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization; whole body. Login for More |
| 78815 Login for More | Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization; skull base to mid-thigh. Login for More |
| 78816 Login for More | Positron emission tomography (PET) imaging; with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization, whole body. Login for More |
CMS does not include Axumin (A9588) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing A9588. Wastage billing guide →
AXUMIN Medically Unlikely Edits (MUE)
The most billing units of A9588 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 mci.
MAI 3 · Date of Service Edit: Clinical. Per-day limit based on clinical expectations; excess units are denied but may be appealed with documentation of medical necessity. See all MUE limits →
AXUMIN Clinical Information
Indications and drug classification.
This list of indications is not exhaustive and may be subject to errors. The information on BuyandBill.com is intended for informational purposes only and should not be used for medical advice.
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Frequently Asked Questions
Is there an available Axumin billing and coding guide?
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Does billing AXUMIN require JZ/JW wastage modifiers?
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