How much does Xofigo cost?

One concern about these new treatments is their high cost — Xofigo costs $69,000 for six injections, Bayer said. “They’re adding two to three months, for a huge cost.

How do I bill for Xofigo?

In a freestanding center or hospital outpatient setting, Xofigo is reported using the product-specific HCPCS A-code, A9606 (radium Ra 223 dichloride, therapeutic, per microcurie).

Does Medicare pay for Xofigo?

Medicare benefits for Xofigo Original Medicare’s Part A benefits will apply if you receive Xofigo during a stay in a skilled nursing facility after a qualifying surgery.

What is the J code Xofigo?

Jcode: A9606 – Radium ra-223 dichloride, therapeutic, per microcurie: 1 billable unit = 1 microcurie NDC: Xofigo (radium Ra 223 dichloride injection) is supplied in single-use vials containing 6 mL of solution at a concentration of 1,100 kBq/mL (30 microcurie/mL) with a total radioactivity of 6,600 kBq/vial (178 …

How long does Xofigo extend life?

XOFIGO SIGNIFICANTLY EXTENDS OVERALL SURVIVAL (OS) Median OS was 14.0 months (95% CI: 12.1-15.8) for Xofigo + best standard of care (BSOC) vs 11.2 months for BSOC (95% CI: 9.0-13.2).

How often is Xofigo given?

Xofigo treatment schedule Xofigo is given as 6 separate injections 4 weeks apart. Your last Xofigo injection will be 20 weeks (about 4 and a half months) after your first injection. You will come to MSK for each of your injections. You will also have a blood test 2 to 3 days before each injection.

What is CPT code A9606?

HCPCS code A9606 for Radium Ra-223 dichloride, therapeutic, per microcurie as maintained by CMS falls under Diagnostic and Therapeutic Radiopharmaceuticals .

What is CPT A9606?

CPT® is a registered trademark of the American Medical Association. HCPCS Code. Description. A9606. Radium RA-223 dichloride, therapeutic, per microcurie.

How long can you live after radium-223?

Median overall survival was 14.9 months for the men assigned to receive radium-223 and 11.3 months for those assigned to the placebo.

Does radium-223 lower PSA?

PSA and ALP At 3 months after the last cycle radium-223, the levels of PSA began to decrease (Fig. 1A). Levels of PSA (A) and ALP (B) at baseline, after the third and 6 cycles of radium-223, and at one and 3 months after treatment. Data are reported as median values and interquartile range.

Who can administer Xofigo?

Xofigo is an alpha particle-emitting therapy that is administered by a nuclear medicine specialist or a radiation oncologist in a designated clinical setting.

Is Xofigo radiation therapy?

Xofigo is a radioactive targeted therapy. This means that it has 2 main parts: a radioactive part and a tumor-targeted part. The tumor-targeted part helps the medication fight just the tumor cells, not your normal cells. This helps keep the medication from damaging healthy parts of your body.

Is radium-223 FDA approved?

On May 15, 2013, the U.S. Food and Drug Administration (FDA) approved radium Ra 223 dichloride (Ra-223; Xofigo injection; Bayer HealthCare Pharmaceuticals Inc.) for the treatment of patients with castration-resistant prostate cancer (CRPC), symptomatic bone metastases, and no known visceral metastatic disease.

How successful is radium 223?

Radium-223 reduced the risk of death by 30%, with median overall survival (OS) of 14.9 months compared with 11.3 months in the placebo arm (HR, 0.70; P <. 001). The median time to first skeletal-related event was 15.6 months versus 9.8 months, respectively (HR, 0.66; P <. 001).

Is Xofigo FDA approved?

The U.S. Food and Drug Administration today approved Xofigo (radium Ra 223 dichloride) to treat men with symptomatic late-stage (metastatic) castration-resistant prostate cancer that has spread to bones but not to other organs.

How is radium-223 administered?

You have radium 223 as an injection into a vein. Usually this is through a thin short tube (cannula) which is put into a vein in your arm or hand each time you have treatment. The injection takes around a minute. You normally have the injection every 4 weeks.

When do you use radium-223?

Radium 223 is for people with prostate cancer who: had hormone treatment that is no longer working. have either had or aren’t suitable for docetaxel (chemotherapy drug)

How is radium-223 given?

Radium Ra 223 dichloride is a radioactive drug that is given through the vein and is taken up by bones after it is injected into the body. Radioactive drugs work by giving off energy, which is thought to kill the tumor cells and other cells that support the tumor cells after the cancer has spread to the bone.

Who can have radium-223?

Who administers radium-223?

In many countries nuclear medicine specialists will administer radium-223 [55], although the role of nuclear medicine physicians may vary among countries.

How is radium Ra 223 dichloride given?

Radium Ra 223 dichloride is given as an infusion into a vein. A healthcare provider will give you this injection. Radium Ra 223 dichloride is usually given once every 4 weeks for a total of 6 injections. Your doctor will determine how long to treat you with radium Ra 223 dichloride. Radium Ra 223 dichloride can lower your blood cell counts.

What is the HCPCS code for radium Ra-223?

HCPCS Code A9606. A9606 is a valid 2018 HCPCS code for Radium ra-223 dichloride, therapeutic, per microcurie or just “ Radium ra223 dichloride ther ” for short, used in Diagnostic radiology . A9606 has been in effect since 01/01/2018.

Are there coding requirements for radiopharmaceuticals in the freestanding center?

Please note that individual Medicare Administrative Contractors (MACs), private payors, or other payors or claims processors may have different coding requirements for radiopharmaceuticals in the freestanding center. Xofigo ® Access Services can research payor-specific coding requirements in performing patient-specific benefit verifications.