HCPCS Level II › A codes A9556 Ga67 galliumGallium ga-67 citrate, diagnostic, per millicurie
Medicare coverage: Carrier judgment Status: active (October 2026 file) Medically Unlikely Edits (effective October 1, 2026) Practitioner: max 10 units per day (clinical), rationale: Prescribing Information Outpatient hospital: max 10 units per day (clinical), rationale: Prescribing Information Medicare pricing for A9556 Physician Fee Schedule (CY 2026, RVU26D) Status C: contractor-priced by the MAC.
Payer policies and prior authorization for A9556 Payer coverage policies that name A9556 A9556 appears in 1 coverage policy from Aetna.
Payer Policy Role in policy Reviewed Document Aetna Transthyretin-Mediated (ATTR) Amyloidosis (0939) listed, no stance (range A9510-A9568) Aug 10, 2026 payer document
Medicaid fee-for-service AZ: $153.92 (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 WA: $153.92 (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.