2024 HCPCS Code A9576

Injection, gadoteridol, (prohance multipack), per ml

Short DescriptionInj prohance multipack
HCPCS Coverage Code C - Carrier judgment
HCPCS Action Code N - No maintenance for this code
HCPCS Action Effective Date January 01, 2008
HCPCS Code Added Date January 01, 2008
HCPCS Pricing Indicator Code 51 - Drugs
HCPCS Multiple Pricing Indicator Code A - Not applicable as HCPCS priced under one methodology
HCPCS Coverage Issues Manual Reference Section Number
HCPCS Type Of Service Code 4 - Diagnostic radiology
HCPCS Anesthesia Base Unit Quantity 0

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