Table of content for "Inj prohance multipack" (HCPCS A9576)
General information on the “A9576” code
HCPCS Code: A9576
Long Description: Injection, gadoteridol, (prohance multipack), per ml
Short Description: Inj prohance multipack
Original information is taken from A9576 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