2024 HCPCS Code A9576

Injection, gadoteridol, (prohance multipack), per ml

Short Description	Inj 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