HCPCS code A9585 — Gadobutrol injection.
Status: Active.
Effective Jan 1, 2012.
Source: CMS HCPCS Level II.
A9585
ActiveGadobutrol injection
Injection, gadobutrol, 0.1 ml
Category:
Transportation & Supplies
Section:
A-codes: Transportation, Medical & Surgical Supplies
Effective:
Jan 1, 2012
Code type:
alphanumeric
OPPS Status:
N
— Items / services packaged into APC rates
MUE — Medically Unlikely Edits
Maximum units of A9585 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 |
|---|---|
| 50419-0325-11 | Gadavist |
| 50419-0325-12 | Gadavist |
| 50419-0325-13 | Gadavist |
| 50419-0325-14 | Gadavist |
| 50419-0325-15 | Gadavist |
| 50419-0325-18 | Gadavist |
| 50419-0325-19 | Gadavist |
| 50419-0325-27 | Gadavist |
| 50419-0325-28 | Gadavist |
| 50419-0325-29 | Gadavist |
| 50419-0325-37 | Gadavist |
| 65219-0281-02 | Gadobutrol |
| 65219-0281-07 | Gadobutrol |
| 65219-0281-10 | Gadobutrol |
| 65219-0281-15 | Gadobutrol |
| 65219-0287-30 | Gadobutrol |
| 65219-0289-65 | Gadobutrol |
| 70436-0212-54 | Gadobutrol |
| 70436-0212-80 | Gadobutrol |
| 70436-0214-54 | Gadobutrol |