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HCPCS/CPT A9609, Fludeoxyglucose f18 up to 15 millicuries | Prior Auth Required

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`A9609`, Fludeoxyglucose f18 up to 15 millicuries

HCPCS/CPT

Prior Authorization

Prior Auth Required

At least one active policy explicitly requires prior authorization (high confidence)

Medicare Pricing

Work RVU

0.00

Facility

N/A

Non-Facility

N/A

2 Active Policies

EVICORE-HPLAN-EMBLEM_GHI-8F6385AD7D76, GHI/Emblem Non-City of New York & Medicare Radiation Oncology Code List - Effective 01/01/2026

EVICORE-HPLAN-HEALTH_PARTNERS_PLANS-0414D494E567

, Health Partners Plans Radiation Therapy Code List - Effective 01/01/2025

Related Codes

77387(2 policies)77412(2 policies)77372(2 policies)77373(2 policies)77402(2 policies)77407(2 policies)77371(2 policies)77423(2 policies)

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