HCPCS code A9575 — Inj gadoterate meglumi 0.1ml.
Status: Active.
Effective Jan 1, 2014.
Source: CMS HCPCS Level II.
A9575
ActiveInj gadoterate meglumi 0.1ml
Injection, gadoterate meglumine, 0.1 ml
Category:
Transportation & Supplies
Section:
A-codes: Transportation, Medical & Surgical Supplies
Effective:
Jan 1, 2014
Code type:
alphanumeric
OPPS Status:
N
— Items / services packaged into APC rates
MUE — Medically Unlikely Edits
Maximum units of A9575 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 | 300 |
| Practitioner Services | 300 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NDC Crosswalk
National Drug Codes (NDCs) mapped to this HCPCS code.
| NDC | Drug Name |
|---|---|
| 00407-2943-01 | Clariscan |
| 00407-2943-02 | Clariscan |
| 00407-2943-05 | Clariscan |
| 00407-2943-06 | Gadoterate Meglumine |
| 00407-2943-12 | Gadoterate Meglumine |
| 00407-2943-17 | Gadoterate Meglumine |
| 00407-2943-22 | Gadoterate Meglumine |
| 00407-2943-70 | Gadoterate Meglumine |
| 65219-0080-05 | Gadoterate Meglumine |
| 65219-0082-10 | Gadoterate Meglumine |
| 65219-0084-15 | Gadoterate Meglumine |
| 65219-0086-20 | Gadoterate Meglumine |
| 65219-0088-50 | Gadoterate Meglumine |
| 67684-2000-00 | Dotarem |
| 67684-2000-01 | Dotarem |
| 67684-2000-05 | Dotarem |
| 67684-2000-06 | Dotarem |
| 67684-2001-00 | Dotarem |
| 67684-2001-01 | Dotarem |
| 67684-2001-02 | Dotarem |