HCPCS code A9573 — Inj, gadopiclenol, 1 ml.
Status: Active.
Effective Oct 1, 2023.
Source: CMS HCPCS Level II.
A9573
ActiveInj, gadopiclenol, 1 ml
Injection, gadopiclenol, 1 ml
Category:
Transportation & Supplies
Section:
A-codes: Transportation, Medical & Surgical Supplies
Effective:
Oct 1, 2023
Code type:
alphanumeric
OPPS Status:
N
— Items / services packaged into APC rates
MUE — Medically Unlikely Edits
Maximum units of A9573 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.
| Service Type | Max Units / Day |
|---|---|
| Outpatient Hospital | 18 |
| Practitioner Services | 18 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NDC Crosswalk
National Drug Codes (NDCs) mapped to this HCPCS code.
| NDC | Drug Name |
|---|---|
| 00270-7015-46 | Vueway |
| 00270-7015-48 | Vueway |
| 00270-7020-38 | Vueway |
| 00270-7025-40 | Vueway |
| 00270-7030-42 | Vueway |
| 67684-4230-02 | Elucirem |
| 67684-4231-02 | Elucirem |
| 67684-4232-02 | Elucirem |
| 67684-4240-02 | Elucirem |
| 67684-4241-02 | Elucirem |
| 67684-4250-04 | Elucirem |
Change History
Quarterly changes published by CMS. Revisions may affect the code description, coverage, or rate — review each quarter's changes before submitting claims.
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New Code 2023-Q4Inj, gadopiclenol, 1 ml