HCPCS A9573

Injection, gadopiclenol, 1 ml

HCPCS Information

HCPCS Code: A9573
The Healthcare Common Procedure Coding System (HCPCS) is a set of unique alphanumeric codes used to report medical procedures and services to healthcare programs like Medicare and Medicaid. HCPCS codes are used in conjunction with NDC codes for billing and medical documentation puporses. For instance, HCPCS A9573 identifies the type of service or supply used while any of the 10 NDC codes below could be used to specify the exact drug used.
Short Description
Inj, gadopiclenol, 1 ml
Long Description
Injection, gadopiclenol, 1 ml
Pricing Indicator
Drugs
Multiple Pricing Indicator
Not applicable as HCPCS priced under one methodology
Coverage Description
Carrier judgment
BETOS Type of Service
Standard imaging - nuclear medicine
Medicare Payment Limit
$3.41
Medicare Co-Insurance Percentage
20.000%
HCPCS Classification
List of HCPCS codes for: Transportation, Medical & Surgical Supplies, Miscellaneous & Experimental (A-codes)

HCPCS Crossover to NDC Codes

The NDC codes below allow precise billing based on the specific manufacturer and medication used:

NDC Proprietary Name Non-Proprietary Name Dosage Form Route Name Company Name Status
0270-7015Vueway GadopiclenolInjectionIntravenousBracco Diagnostics IncACTIVE
0270-7020Vueway GadopiclenolInjectionIntravenousBracco Diagnostics IncACTIVE
0270-7025Vueway GadopiclenolInjectionIntravenousBracco Diagnostics IncACTIVE
0270-7030Vueway GadopiclenolInjectionIntravenousBracco Diagnostics IncACTIVE
67684-4230Elucirem GadopiclenolInjectionIntravenousGuerbet LlcACTIVE
67684-4231Elucirem GadopiclenolInjectionIntravenousGuerbet LlcACTIVE
67684-4232Elucirem GadopiclenolInjectionIntravenousGuerbet LlcACTIVE
67684-4240Elucirem GadopiclenolInjectionIntravenousGuerbet LlcACTIVE
67684-4241Elucirem GadopiclenolInjectionIntravenousGuerbet LlcACTIVE
67684-4250Elucirem GadopiclenolInjectionIntravenousGuerbet LlcACTIVE