`A9555` Rb82 rubidium

Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries

Medicare coverage: Carrier judgment
Status: active (October 2026 file)

Medically Unlikely Edits (effective October 1, 2026)

Practitioner: max 2 units per day (clinical), rationale: Clinical: Data
Outpatient hospital: max 2 units per day (clinical), rationale: Clinical: Data

Medicare pricing for A9555

Physician Fee Schedule (CY 2026, RVU26D)

Status C: contractor-priced by the MAC.

Payer policies and prior authorization for A9555

0 of 1 payer prior-auth lists that name A9555 require prior authorization or set conditions.

Payer coverage policies that name A9555

A9555 appears in 5 coverage policies from Aetna, Blue Cross & Blue Shield of Mississippi, Blue Shield of California, Health Care Service Corporation (BCBS IL, TX, OK, NM, MT).

Payer	Policy	Role in policy	Reviewed	Document
Aetna	Positron Emission Tomography (PET) (0071)	covered if criteria are met	Sep 14, 2026	payer document
Aetna	Transthyretin-Mediated (ATTR) Amyloidosis (0939)	listed, no stance (range A9510-A9568)	Aug 10, 2026	payer document
Blue Cross & Blue Shield of Mississippi	Cardiac Applications Of Pet Scanning	covered if criteria are met		payer document
Blue Shield of California	Cardiac Applications of Positron Emission Tomography Scanning (6.01.20)	listed, no stance		payer document
Health Care Service Corporation (BCBS IL, TX, OK, NM, MT)	Cardiac Applications of Positron Emission Tomography Scanning (RAD605.001) CPT Codes 78429, 78430, 78431, 78432, 78433, 78434, 78459, 78491, 78492	listed, no stance	Dec 15, 2025	payer document

Medicaid fee-for-service

AZ: $520.75 (outpatient_hospital), effective Jan 1, 2025
IN: $0.00 (professional, facility), effective Nov 10, 2017
KY: $0.00 (asc), effective Jan 1, 2026
OK: $0.00 (outpatient_hospital_apc), effective Jan 1, 2026
VT: $0.00 (outpatient_hospital_opps), effective Feb 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.

A9555 Rb82 rubidium