A9616 — Gallium ga-68 gozetotide (gozellix), diagnostic, 1 millicurie
A9616 is a HCPCS Level II code for gallium ga-68 gozetotide (gozellix), diagnostic, 1 millicurie. It belongs to the Transportation, Medical & Surgical Supplies, Administrative section. Whether Medicare pays it depends on the coverage rule below.
Medicare coverage: Carrier judgment
Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
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 statusX
Statutory exclusion. The item or service is not within the statutory definition of 'physician services', so the fee schedule never pays it.
Global period: XXX
Want the dollar amount for your locality? The fee calculator applies your GPCI and the current conversion factor.
The CMS record for A9616
- Long descriptor
- Gallium ga-68 gozetotide (gozellix), diagnostic, 1 millicurie
- Short descriptor
- Gallium gozellix 1 millicuri
- Added
- October 1, 2025
- BETOS
- I1E
- Pricing indicator
- 57 — Other
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.
Other carrier priced.
Codes adjacent to A9616
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If A9616 is not quite right, the correct code is very often within a few positions of it.
- A9606Radium ra-223 dichloride, therapeutic, per microcurie
- A9607Lutetium lu 177 vipivotide tetraxetan, therapeutic, 1 millicurie
- A9608Flotufolastat f 18, diagnostic, 1 millicurie
- A9609Fludeoxyglucose f18 up to 15 millicuries
- A9610Xenon xe-129 hyperpolarized gas, diagnostic, per study dose
- A9611Flurpiridaz f 18, diagnostic, 1 millicurie
- A9612Injection, fluorescein, 1 mg
- A9615Injection, pegulicianine, 1 mg
- A9697Injection, carboxydextran-coated superparamagnetic iron oxide, per study dose
- A9698Non-radioactive contrast imaging material, not otherwise classified, per study
- A9699Radiopharmaceutical, therapeutic, not otherwise classified
- A9700Supply of injectable contrast material for use in echocardiography, per study
- A9800Gallium ga-68 gozetotide, diagnostic, (locametz), 1 millicurie
- A9900Miscellaneous dme supply, accessory, and/or service component of another hcpcs code
- A9901Dme delivery, set up, and/or dispensing service component of another hcpcs code
- A9999Miscellaneous dme supply or accessory, not otherwise specified
Questions about A9616
What is HCPCS code A9616?
A9616 is a HCPCS Level II code for gallium ga-68 gozetotide (gozellix), diagnostic, 1 millicurie. It sits in the Transportation, Medical & Surgical Supplies, Administrative section.
Does Medicare cover A9616?
The CMS HCPCS file marks A9616 as "Carrier judgment". Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
How is A9616 paid under the physician fee schedule?
A9616 carries PFS status code X. Statutory exclusion. The item or service is not within the statutory definition of 'physician services', so the fee schedule never pays it.