HCPCS A9576
Injection, gadoteridol, (prohance multipack), per ml
HCPCS Information
- HCPCS Code: A9576
- 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 A9576 identifies the type of service or supply used while any of the 2 NDC codes below could be used to specify the exact drug used.
- Short Description
- Inj prohance multipack
- Long Description
- Injection, gadoteridol, (prohance multipack), per 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
- $1.42
- 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 | |
|---|---|---|---|---|---|---|---|
| 0270-1111 | Prohance | Gadoteridol | Injection, Solution | Intravenous | Bracco Diagnostics Inc | ACTIVE | |
| 0270-1111 | Prohance | Gadoteridol | Injection, Solution | Intravenous | Bracco Diagnostics Inc | ACTIVE |
