HCPCS A9577 Code. Inj multihance


Table of content for "Inj multihance" (HCPCS A9577)

General information on the “A9577” code

HCPCS Code: A9577
Long Description: Injection, gadobenate dimeglumine (multihance), per ml
Short Description: Inj multihance

Original information is taken from A9577 page

Pricing indicators

Pricing Indicator Code 1: 51 – Drugs
Multiple Pricing Indicator Code A : Not applicable as HCPCS priced under one methodology

Certification and additional reference information

Coverage

Coverage: C – Carrier judgment

Type of service


Berenson-Eggers Type of Service (BETOS): I1E – Standard imaging - nuclear medicine
Type Of Service 1: 4 – Diagnostic radiology

Misc information

Anesthesia Base Unit Quantity: 0
Code Added Date: 20080101
Code Effective Date: 20080101
Action Code: N – No maintenance for this code