A9586 — Florbetapir f18, diagnostic, per study dose, up to 10 millicuries
A9586 is a HCPCS Level II code for florbetapir f18, diagnostic, per study dose, up to 10 millicuries. It belongs to the Transportation, Medical & Surgical Supplies, Administrative section. Whether Medicare pays it depends on the coverage rule below.
Medicare coverage: Special coverage instructions apply
There are published conditions attached to this code. Check the applicable coverage policy before billing it: the code being valid is not the same as the service being covered.
From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.
Physician fee schedule statusC
Contractor-priced. Your MAC establishes the RVUs and the payment amount case by case, usually after reviewing documentation. There is no national amount to compute.
Global period: YYY
Want the dollar amount for your locality? The fee calculator applies your GPCI and the current conversion factor.
Medically Unlikely Edits — units per day
The most units of A9586 Medicare will pay on one date of service. Bill more on a single line and it is denied. The limit is not the same in every setting, so the row that matters is the one matching the claim you are building.
- practitioner
- 1 unit MAI 3 — Date of Service Edit: Clinical · Code Descriptor / CPT Instruction
- outpatient
- 1 unit MAI 3 — Date of Service Edit: Clinical · Code Descriptor / CPT Instruction
The adjudication indicator decides whether exceeding the limit is worth appealing at all: MAI 1 is a line edit you can support with documentation, MAI 3 is a date-of-service edit that is also appealable, and MAI 2 is absolute — no documentation overrides it. CMS MUE 2026Q3.
The CMS record for A9586
- Long descriptor
- Florbetapir f18, diagnostic, per study dose, up to 10 millicuries
- Short descriptor
- Florbetapir f18
- Added
- January 1, 2013
- BETOS
- I1E
- Pricing indicator
- 00 — Not priced by Part B
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
Berenson-Eggers Type of Service — CMS's own analytic grouping.
Service not separately priced by Part B — not covered, bundled into another service, or used by Part A only.
Codes adjacent to A9586
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If A9586 is not quite right, the correct code is very often within a few positions of it.
- A9578Injection, gadobenate dimeglumine (multihance multipack), per ml
- A9579Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml
- A9580Sodium fluoride f-18, diagnostic, per study dose, up to 30 millicuries
- A9581Injection, gadoxetate disodium, 1 ml
- A9582Iodine i-123 iobenguane, diagnostic, per study dose, up to 15 millicuries
- A9583Injection, gadofosveset trisodium, 1 ml
- A9584Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries
- A9585Injection, gadobutrol, 0.1 ml
- A9587Gallium ga-68, dotatate, diagnostic, 0.1 millicurie
- A9588Fluciclovine f-18, diagnostic, 1 millicurie
- A9589Instillation, hexaminolevulinate hydrochloride, 100 mg
- A9590Iodine i-131, iobenguane, 1 millicurie
- A9591Fluoroestradiol f 18, diagnostic, 1 millicurie
- A9592Copper cu-64, dotatate, diagnostic, 1 millicurie
- A9593Gallium ga-68 psma-11, diagnostic, (ucsf), 1 millicurie
- A9594Gallium ga-68 psma-11, diagnostic, (ucla), 1 millicurie
Questions about A9586
What is HCPCS code A9586?
A9586 is a HCPCS Level II code for florbetapir f18, diagnostic, per study dose, up to 10 millicuries. It sits in the Transportation, Medical & Surgical Supplies, Administrative section.
Does Medicare cover A9586?
The CMS HCPCS file marks A9586 as "Special coverage instructions apply". There are published conditions attached to this code. Check the applicable coverage policy before billing it: the code being valid is not the same as the service being covered.
How is A9586 paid under the physician fee schedule?
A9586 carries PFS status code C. Contractor-priced. Your MAC establishes the RVUs and the payment amount case by case, usually after reviewing documentation. There is no national amount to compute.