diff --git a/python/sglang/srt/disaggregation/decode_schedule_batch_mixin.py b/python/sglang/srt/disaggregation/decode_schedule_batch_mixin.py
index a74f01420..640e55b25 100644
--- a/python/sglang/srt/disaggregation/decode_schedule_batch_mixin.py
+++ b/python/sglang/srt/disaggregation/decode_schedule_batch_mixin.py
@@ -42,9 +42,10 @@ class ScheduleBatchDisaggregationDecodeMixin:
         offset = 0
         for i, req in enumerate(reqs):
             req_pool_indices.append(req.req_pool_idx)
+            pre_len = len(req.prefix_indices)
 
             chunk = self.req_to_token_pool.req_to_token[req.req_pool_idx][
-                : req.extend_input_len
+                pre_len : pre_len + req.extend_input_len
             ]
             assert (
                 offset + req.extend_input_len <= total_size
@@ -52,7 +53,6 @@ class ScheduleBatchDisaggregationDecodeMixin:
             out_cache_loc[offset : offset + req.extend_input_len] = chunk
             offset += req.extend_input_len
 
-            pre_len = len(req.prefix_indices)
             seq_len = len(req.origin_input_ids) + max(0, len(req.output_ids) - 1)
             seq_lens.append(seq_len)
             if len(req.output_ids) == 0:
diff --git a/test/registered/distributed/test_disaggregation_decode_radix_cache.py b/test/registered/distributed/test_disaggregation_decode_radix_cache.py
index c92c48fcd..53356a6cb 100644
--- a/test/registered/distributed/test_disaggregation_decode_radix_cache.py
+++ b/test/registered/distributed/test_disaggregation_decode_radix_cache.py
@@ -1,10 +1,12 @@
 import time
 import unittest
+from types import SimpleNamespace
 
 import requests
 
 from sglang.test.ci.ci_register import register_cuda_ci
 from sglang.test.kits.cache_hit_kit import run_multiturn_cache_hit_test
+from sglang.test.run_eval import run_eval
 from sglang.test.server_fixtures.disaggregation_fixture import (
     PDDisaggregationServerBase,
 )
@@ -78,6 +80,39 @@ class TestDisaggregationDecodeRadixCache(PDDisaggregationServerBase):
         self._assert_process_healthy("prefill", self.process_prefill, self.prefill_url)
         self._assert_process_healthy("decode", self.process_decode, self.decode_url)
 
+    def test_gsm8k_accuracy_two_passes(self):
+        """Run GSM8K twice to verify decode radix cache does not degrade accuracy."""
+        args = SimpleNamespace(
+            base_url=self.base_url,
+            model=self.model,
+            eval_name="gsm8k",
+            api="completion",
+            max_tokens=512,
+            num_examples=500,
+            num_threads=100,
+            num_shots=6,
+        )
+
+        metrics_first = run_eval(args)
+        print(f"First run metrics: {metrics_first}")
+
+        metrics_second = run_eval(args)
+        print(f"Second run metrics: {metrics_second}")
+
+        # Both runs should have reasonable accuracy
+        self.assertGreater(metrics_first["score"], 0.80)
+        self.assertGreater(metrics_second["score"], 0.80)
+
+        # Second run accuracy should not drop more than 3% compared to first run
+        accuracy_drop = metrics_first["score"] - metrics_second["score"]
+        self.assertLessEqual(
+            accuracy_drop,
+            0.03,
+            f"Second run accuracy dropped by {accuracy_drop:.4f} "
+            f"(first={metrics_first['score']:.4f}, second={metrics_second['score']:.4f}), "
+            f"exceeds 3% threshold",
+        )
+
 
 if __name__ == "__main__":
     unittest.main()