ILLUCCIX A Code: A9596
Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie
Drug & Product Overview
About ILLUCCIX
Illuccix is a medication aligned to the HCPCS A Code: A9596 for billing, pricing, and reimbursement purposes in the United States. Classified under Imaging/Radiopharmaceutical, it is administered via the intravenous route and manufactured by Telix Pharmaceuticals US.
Manufacturers, reach out to us to add more information.
NDC Code Information
2 NDC packages are crosswalked to A9596. Package detail is available to logged-in subscribers.
| NDC Code | Drug | Manufacturer | Billing Units / Pkg | Package Size |
|---|---|---|---|---|
| •••••-••••-•• Log in to view | ILLUCCIX | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
| •••••-••••-•• Log in to view | ILLUCCIX | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
ILLUCCIX Pricing & Reimbursement
National median reimbursement across major commercial payers.
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Gozetotide 505(b)(2) Information:
| HCPCS Code | Manufacturer | Active Ingredient | HCPCS Description |
|---|---|---|---|
| A9596 | Telix Pharmaceuticals US | Gozetotide | Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie |
| A9616 | Telix Pharmaceuticals US | Gozetotide | Gallium ga-68 gozetotide (gozellix), diagnostic, 1 millicurie |
ILLUCCIX 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 |
|---|---|
| 78812 | Positron emission tomography (PET) imaging; skull base to mid-thigh |
| 78813 | Tumor imaging, positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization; whole body. |
| 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 Illuccix (A9596) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing A9596. Wastage billing guide →
ILLUCCIX Medically Unlikely Edits (MUE)
The most billing units of A9596 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 →
ILLUCCIX 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 Illuccix billing and coding guide?
Are there any available Illuccix patient assistance programs?
Where can I find Illuccix prescribing information?
Where can I find Illuccix side effect information?
Does billing ILLUCCIX require JZ/JW wastage modifiers?
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