Question 1

What is HCPCS code A9586?

Accepted Answer

HCPCS code A9586 is "Florbetapir f18". Florbetapir f18, diagnostic, per study dose, up to 10 millicuries

Question 2

What category is A9586 in?

Accepted Answer

A9586 belongs to HCPCS Category A (Transportation, Medical/Surgical Supplies, Miscellaneous).

Question 3

When should I use HCPCS code A9586?

Accepted Answer

Use A9586 when billing for florbetapir f18. HCPCS Level II codes like this are used for items and services not covered by CPT codes, including medical supplies, equipment, drugs administered in clinical settings, and certain healthcare services.

Question 4

Is A9586 covered by Medicare?

Accepted Answer

Coverage for A9586 (Florbetapir f18) depends on medical necessity and specific Medicare guidelines. Check the applicable Local Coverage Determination (LCD) or National Coverage Determination (NCD) for detailed coverage criteria. Private insurers may have different coverage policies.

Question 5

What documentation is required for A9586?

Accepted Answer

Documentation for A9586 should include: the medical necessity for the item or service, supporting diagnosis codes (ICD-10), prescription or order from the treating physician, and proof that the item meets quality standards. Some items may require additional documentation like a Certificate of Medical Necessity (CMN).