Injection, gadoteridol, (prohance multipack), per ml
Transportation Services Including Ambulance, Medical & Surgical Supplies
A9576 is a valid 2024 HCPCS code for Injection, gadoteridol, (prohance multipack), per ml or just “Inj prohance multipack” for short, used in Diagnostic radiology.
HCPCS Level II Code Transportation Services Including Ambulance, Medical & Surgical Supplies |
|
HCPCS Code | A9576 |
---|---|
Description |
Long description:
Short description: |
HCPCS Modifier1 | |
HCPCS Pricing indicator |
51 - Drugs
|
Multiple pricing indicator |
A - Not applicable as HCPCS priced under one methodology
|
Coverage code | C - Carrier judgment |
BETOS2 code | I1E - Standard imaging - nuclear medicine |
HCPCS Action code | N - No maintenance for this code |
Type of service | 4 - Diagnostic radiology |
Effective date | Effective Jan 01, 2008 |
Date added | Added Jan 01, 2008 |
HCPCS Coding Procedures |
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
Effective | Code Dosage | Payment Limit |
Vaccine AWP % | Vaccine Limit | Infusion AWP % | DME infusion limit | Blood AWP % | Blood limit | Clotting factor | Note |
---|---|---|---|---|---|---|---|---|---|---|
October 1, 2024 - December 31, 2024 | 1 ML | 1.468 | - | - | - | - | - | - | ||
Jul 1, 2024 - Sep 30, 2024 | 1 ML | 1.472 | - | - | - | - | - | - | ||
April 1, 2024 - June 30, 2024 | 1 ML | 1.493 | - | - | - | - | - | - | ||
January 1, 2024 - March 31, 2024 | 1 ML | 1.525 | - | - | - | - | - | - | ||
October 1, 2023 - December 31, 2023 | 1 ML | 1.403 | 20% | - | - | - | - | - |
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”