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PAYER POLICY CHANGES

A9608 Insurance Policy Changes

HCPCS A9608 is officially defined as "Flotufolastat f 18, diagnostic, 1 millicurie." HCPCS A9608 is referenced in 4 tracked payer policy changes from Medicare/CMS - Transmittals, Excellus BlueCross BlueShield, and 2 other payers. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for HCPCS A9608 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

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REFERENCE DATA

Payers with rules2
Payers requiring prior auth2
  • Anthem BCBS · Effective November 1, 2026

    Prior authorization required

    Anthem Local PPO Precertification/Prior Authorization List (California | Anthem Blue Cross | Commercial)

  • Centene · Effective December 31, 2025

    Prior authorization required

    Sunshine Health Title XIX, Title XXI, Managed Medical Assistance CMS-0057-F prior authorization requirements

FREQUENTLY ASKED QUESTIONS

Does Anthem BCBS require prior authorization for A9608?

Anthem BCBS lists A9608 on Anthem Local PPO Precertification/Prior Authorization List (California | Anthem Blue Cross | Commercial) for commercial plans (list dated November 1, 2026). Verify with the payer before scheduling.

Does Centene require prior authorization for A9608?

Centene lists A9608 on Sunshine Health Title XIX, Title XXI, Managed Medical Assistance CMS-0057-F prior authorization requirements for medicaid managed plans (list dated December 31, 2025). Verify with the payer before scheduling.

What insurance policy changes affect HCPCS A9608?

There are 4 tracked policy changes affecting HCPCS A9608, including updates from Medicare/CMS - Transmittals, Excellus BlueCross BlueShield, Nevada Medicaid. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for HCPCS A9608?

Payers that have issued tracked updates for HCPCS A9608 include: Medicare/CMS - Transmittals, Excellus BlueCross BlueShield, Nevada Medicaid, Blue Cross & Blue Shield of Mississippi.

How do I get notified when HCPCS A9608 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to HCPCS A9608. You will get an email when new policy changes reference this code: daily or weekly, your choice, on every plan.

Why do payers change policies for HCPCS A9608?

Payers revise policies for individual billing codes to align with updated clinical guidelines, CMS rule changes, fraud and abuse prevention measures, or network cost-management goals. Changes can affect medical necessity criteria, place-of-service restrictions, bundling rules, or whether a code requires prior authorization.

See every payer rule for A9608

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for A9608 in one place.

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