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PAYER POLICY CHANGES

A9800 Insurance Policy Changes

HCPCS A9800 is officially defined as "Gallium ga-68 gozetotide, diagnostic, (locametz), 1 millicurie." HCPCS A9800 is referenced in 2 tracked payer policy changes from Excellus BlueCross BlueShield and Blue Cross & Blue Shield of Mississippi. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for HCPCS A9800 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 rules7
Payers requiring prior auth7
  • Anthem BCBS · Effective November 1, 2026

    Prior authorization required

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

  • BCBS Illinois · Effective January 1, 2026

    Prior authorization required in some cases

    2026 Commercial Outpatient Medical Surgical Prior Authorization Codes

  • BCBS Montana · Effective January 1, 2026

    Prior authorization required in some cases

    2026 Commercial Medical Surgical Prior Authorization Codes

FREQUENTLY ASKED QUESTIONS

Does Anthem BCBS require prior authorization for A9800?

Anthem BCBS lists A9800 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 BCBS Illinois require prior authorization for A9800?

BCBS Illinois lists A9800 on 2026 Commercial Outpatient Medical Surgical Prior Authorization Codes for commercial plans, with conditions (list dated January 1, 2026). Verify with the payer before scheduling.

Does BCBS Montana require prior authorization for A9800?

BCBS Montana lists A9800 on 2026 Commercial Medical Surgical Prior Authorization Codes for commercial plans, with conditions (list dated January 1, 2026). Verify with the payer before scheduling.

Does BCBS New Mexico require prior authorization for A9800?

BCBS New Mexico lists A9800 on 2026 Commercial Outpatient Medical Surgical ASO Medical Surgical Procedure Code List for commercial plans, with conditions (list dated January 1, 2026). Verify with the payer before scheduling.

Does BCBS Oklahoma require prior authorization for A9800?

BCBS Oklahoma lists A9800 on 2026 Commercial Outpatient Medical Surgical ASO Prior Authorization Codes for commercial plans, with conditions (list dated January 1, 2026). Verify with the payer before scheduling.

What insurance policy changes affect HCPCS A9800?

There are 2 tracked policy changes affecting HCPCS A9800, including updates from Excellus BlueCross BlueShield, Blue Cross & Blue Shield of Mississippi. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for HCPCS A9800?

Payers that have issued tracked updates for HCPCS A9800 include: Excellus BlueCross BlueShield, Blue Cross & Blue Shield of Mississippi.

How do I get notified when HCPCS A9800 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to HCPCS A9800. 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 A9800?

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 A9800

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for A9800 in one place.

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