2024 HCPCS Code C9457

Injection, sulfur hexafluoride lipid microsphere, per ml

Notice	HCPCS C9457 terminated on December 31, 2015.
Short Description	Lumason contrast agent
HCPCS Coverage Code	D - Special coverage instructions apply
HCPCS Action Code	N - No maintenance for this code
HCPCS Action Effective Date	January 01, 2016
HCPCS Code Added Date	October 01, 2015
HCPCS Pricing Indicator Code	53 - Statute
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