HCPCS Level II › A codes A9505 Tl201 thalliumThallium tl-201 thallous chloride, diagnostic, per millicurie
Medicare coverage: Carrier judgment Status: active (October 2026 file) Medically Unlikely Edits (effective October 1, 2026) Practitioner: max 4 units per day (clinical), rationale: Prescribing Information Outpatient hospital: max 4 units per day (clinical), rationale: Prescribing Information Medicare pricing for A9505 Physician Fee Schedule (CY 2026, RVU26D) Status C: contractor-priced by the MAC.
Payer policies and prior authorization for A9505 0 of 1 payer prior-auth lists that name A9505 require prior authorization or set conditions.
Payer coverage policies that name A9505 A9505 appears in 1 coverage policy from Blue Cross & Blue Shield of Mississippi.
Payer Policy Role in policy Reviewed Document Blue Cross & Blue Shield of Mississippi Scintimammography And Gamma Imaging Of The Breast And Axilla listed, no stance payer document
Medicaid fee-for-service AZ: $32.66 (outpatient_hospital), effective Oct 1, 2024 CO: $21.98 (health_first_colorado), effective Jul 1, 2026 FL: $84.56 (radiology, non-facility), effective Jan 1, 2026 IN: $0.00 (professional, facility), effective Nov 10, 2017 KY: $0.00 (asc), effective Jan 1, 2026 LA: $23.32 (professional), effective Feb 1, 2013 NE: $34.88 (injectables), effective Jul 1, 2026 OH: $78.75 (provider_administered_drugs), effective Sep 1, 2005 OK: $0.00 (outpatient_hospital_apc), effective Jan 1, 2026 TX: $31.91 (miscellaneous_other_professionals_portable_x_ray_radiologica, Miscellaneous Other Professionals - Portable X-Ray, Radiological Lab, Physiological Lab, non-facility), effective Mar 1, 2026 VA: $85.39 (medical), effective Jul 15, 1998 VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $37.23 (physician, facility), effective Jul 1, 2026 WY: $0.00 (outpatient_hospital_apc, Children's Hospitals), effective Apr 1, 2026 From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.