Does A9609 require prior authorization?

Yes, A9609 requires prior authorization (high confidence). Code explicitly requires prior authorization.

What is the Medicare reimbursement rate for A9609?

Medicare facility rate: N/A. Non-facility rate: N/A. Work RVU: 0.00.

HCPCS/CPT

Prior Auth Required

Code explicitly requires prior authorization (high confidence)

Work RVU

0.00

Facility

N/A

Non-Facility

N/A

EVICORE-HPLAN-CIGNA_MEDICARE-EBD227BCF117, 1199 SEIU Radiation Oncology Prior Authorization and Claims Studio Code List - Effective 01/01/2026

EVICORE-HPLAN-EMBLEM_GHI-8F6385AD7D76, GHI/Emblem Non-City of New York & Medicare Radiation Oncology Code List - Effective 01/01/2026

EVICORE-HPLAN-HEALTH_PARTNERS_PLANS-0414D494E567, Health Partners Plans Radiation Therapy Code List - Effective 01/01/2025

EVICORE-HPLAN-HEALTH_PARTNERS_PLANS-F7F40A1DDB03, Health Partners Plans Radiation Therapy Code List - Effective 01/01/2026

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