TELIX PHARMACEUTICALS, INC.

ILLUCCIX

ASP | WAC | AWP at the HCPCS Unit

Manufacturer:

TELIX PHARMACEUTICALS, INC.

Illuccix HCPCS:

A9596

HCPCS Code Descriptor:

Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie

Category:

A Code

Illuccix NDCs:

74725-0100-64, 74725-0100-25

Primary Type:

Imaging/Radiopharmaceutical

Generic/Specialty Status:

Single-Source

Package Type:

Not Found

Route of Administration:

Intravenous

Illuccix CPT Codes:

-78812 - Positron emission tomography (PET) imaging; skull base to mid-thigh

-78813 - Positron emission tomography (PET) imaging; whole body

-78815 - Positron emission tomography (PET) imaging with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh

Some of the most common CPT administration codes for 'buy and bill' drugs can be found at the following link:

Potential NDC Listing Errors:

We have not identified any potential errors with the NDCs mapped to this HCPCS code.

About Illuccix:

ILLUCCIX is an Imaging/Radiopharmaceutical drug manufactured by TELIX PHARMACEUTICALS, INC. and administered via the Intravenous route of administration. The A Code: A9596 is aligned to the drug ILLUCCIX.

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A9596 Added Date:

July 1, 2022

A9596 Effective Date:

July 1, 2022

A9596 Termination Date:

HCPCS Active

Illuccix billing and coding information can be found through Telix Pharmaceuticals, Inc. at the link below:
Illuccix patient assistance information can be found through Illuccix Support Services at the URL: https://illuccix.com/support-services/
ILLUCCIX prescribing information can be found at the link below:
Our team has not yet identified a source of side effects information for ILLUCCIX. Please check back in a few weeks.