HCPCS code A9577 — Inj multihance.
Status: Active.
Effective Jan 1, 2008.
Source: CMS HCPCS Level II.
A9577
ActiveInj multihance
Injection, gadobenate dimeglumine (multihance), per ml
Category:
Transportation & Supplies
Section:
A-codes: Transportation, Medical & Surgical Supplies
Effective:
Jan 1, 2008
Code type:
alphanumeric
OPPS Status:
N
— Items / services packaged into APC rates
MUE — Medically Unlikely Edits
Maximum units of A9577 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 | 50 |
| Practitioner Services | 50 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NDC Crosswalk
National Drug Codes (NDCs) mapped to this HCPCS code.
| NDC | Drug Name |
|---|---|
| 00270-5164-12 | Multihance |
| 00270-5164-13 | Multihance |
| 00270-5164-14 | Multihance |
| 00270-5164-15 | Multihance |