HCPCS code A9579 — Gad-base mr contrast nos,1ml.
Status: Active.
Effective Jan 1, 2008.
Source: CMS HCPCS Level II.
A9579
ActiveGad-base mr contrast nos,1ml
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), 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 A9579 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 | 100 |
| Practitioner Services | 100 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NDC Crosswalk
National Drug Codes (NDCs) mapped to this HCPCS code.
| NDC | Drug Name |
|---|---|
| 00270-1111-01 | Prohance |
| 00270-1111-02 | Prohance |
| 00270-1111-03 | Prohance |
| 00270-1111-04 | Prohance |
| 00270-1111-85 | Prohance |
| 00407-0690-05 | Omniscan |
| 00407-0690-10 | Omniscan |
| 00407-0690-12 | Omniscan |
| 00407-0690-15 | Omniscan |
| 00407-0690-17 | Omniscan |
| 00407-0690-20 | Omniscan |
| 00407-0690-22 | Omniscan |
| 00407-0690-70 | Omniscan |
| 70436-0121-31 | Gadoteridol |
| 70436-0121-33 | Gadoteridol |
| 70436-0121-34 | Gadoteridol |
| 70436-0121-35 | Gadoteridol |