XOFIGO A Code: A9606
Radium ra-223 dichloride, therapeutic, per microcurie
Drug & Product Overview
About XOFIGO
Xofigo is a medication aligned to the HCPCS A Code: A9606 for billing, pricing, and reimbursement purposes in the United States. This Imaging/Radiopharmaceutical medication is administered via the intravenous route and manufactured by Bayer Pharmaceutical.
According to CMS Drug Use Information: This medication is used to treat prostate cancer and cancer that has spread to bones. Radium Ra 223 dichloride is a radioactive drug. It works by building up in certain cancer cells and causing them to die.
Disclaimer: This is a summary and does not contain all possible information about this product. For complete information about this product or your specific health needs, ask your healthcare professional.
NDC Code Information
1 NDC package is crosswalked to A9606. Package detail is available to logged-in subscribers.
| NDC Code | Drug | Manufacturer | Billing Units / Pkg | Package Size |
|---|---|---|---|---|
| •••••-••••-•• Log in to view | XOFIGO | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
XOFIGO Claims Performance
Real-world claims performance from FocalPoint, OnPoint Oncology's reimbursement analytics platform, with claims data accrued at the clearing house level.
Explore A9606 claims analytics on FocalPoint →
XOFIGO 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 |
|---|---|
| 96409 | Chemotherapy administration; intravenous, push technique, single or initial substance/drug |
CMS does not include Xofigo (A9606) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing A9606. Wastage billing guide →
XOFIGO Medically Unlikely Edits (MUE)
The most billing units of A9606 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 →
XOFIGO 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 Xofigo billing and coding guide?
Are there any available Xofigo patient assistance programs?
Where can I find Xofigo prescribing information?
Where can I find Xofigo side effect information?
Does billing XOFIGO require JZ/JW wastage modifiers?
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