A9611 — Flurpiridaz f 18, diagnostic, 1 millicurie
A9611 is a HCPCS Level II code for flurpiridaz f 18, 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.
Medically Unlikely Edits — units per day
The most units of A9611 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
- 13 units MAI 3 — Date of Service Edit: Clinical · Prescribing Information
- outpatient
- 13 units MAI 3 — Date of Service Edit: Clinical · Prescribing Information
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 A9611
- Long descriptor
- Flurpiridaz f 18, diagnostic, 1 millicurie
- Short descriptor
- Flurpiridaz f18, diag, 1 mci
- Added
- April 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 A9611
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If A9611 is not quite right, the correct code is very often within a few positions of it.
- A9602Fluorodopa f-18, diagnostic, per millicurie
- A9603Injection, pafolacianine, 0.1 mg
- A9604Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries
- 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
- A9612Injection, fluorescein, 1 mg
- A9615Injection, pegulicianine, 1 mg
- A9616Gallium ga-68 gozetotide (gozellix), diagnostic, 1 millicurie
- 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
Questions about A9611
What is HCPCS code A9611?
A9611 is a HCPCS Level II code for flurpiridaz f 18, diagnostic, 1 millicurie. It sits in the Transportation, Medical & Surgical Supplies, Administrative section.
Does Medicare cover A9611?
The CMS HCPCS file marks A9611 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 A9611 paid under the physician fee schedule?
A9611 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.