HCPCS Code Details - C9457

HCPCS Level II Code
Temporary Codes for Use with Outpatient Prospective Payment System
HCPCS Code C9457
Description

Long description:
Injection, sulfur hexafluoride lipid microsphere, per ml

Short description:
Lumason contrast agent

HCPCS Modifier1
HCPCS Pricing indicator 53 - Statute
Multiple pricing indicator A - Not applicable as HCPCS priced under one methodology
Statute number 1833(t)
Coverage code D - Special coverage instructions apply
BETOS2 code O1E - Other drugs
HCPCS Action code N - No maintenance for this code
Type of service 4 - Diagnostic radiology
Effective date Effective Jan 01, 2016
Date added Added Oct 01, 2015
Termination date Dec 31, 2015
HCPCS Coding Procedures

HCPCS Modifiers

In HCPCS Level II, modifiers are composed of two alpha or alphanumeric characters.

Example: E0260-NU - Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress
NU” identifies the hospital bed as new equipment

See also

  • HCPCS C9456 · Injection, isavuconazonium sulfate, 1 mg

  • HCPCS Q9950 · Injection, sulfur hexafluoride lipid microspheres, per ml

  • HCPCS C9458 · Florbetaben f18, diagnostic, per study dose, up to 8.1 millicuries


1 Two-digit numeric codes are Level I code modifiers copyrighted© by the American Medical Association's Current Procedural Terminology (CPT).

2 BETOS stands for “Berenson-Eggers Type Of Service”