A9576 HCPCS Level II Code: Injection, gadoteridol, (prohance multipack), per ml
Medicare Coverage & Payment
- Medicare coverage: Carrier judgment (CMS coverage code C)
- Payment category: Drugs (pricing indicator 51)
- BETOS: I1E — Standard imaging - nuclear medicine
- Last CMS action effective: January 1, 2008
Source: CMS HCPCS Level II release. Coverage codes indicate how Medicare treats the code, not whether a specific claim will be paid; payer policy and documentation still govern.
Official Registry Overview & Definition
Injection, gadoteridol, (prohance multipack), per ml is a HCPCS Level II code (A9576). CMS assigns coverage code C — Carrier judgment. Short description: Inj prohance multipack.
Nearest Codes in This Family
Official HCPCS Level II classifications closest to A9576 in its code family, with their registry titles.
- A9571 — Indium in-111 labeled autologous platelets, diagnostic, per study dose
- A9572 — Indium in-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries
- A9573 — Injection, gadopiclenol, 1 ml
- A9574 — Injection, ferumoxytol, 1 mg
- A9575 — Injection, gadoterate meglumine, 0.1 ml
- A9577 — Injection, gadobenate dimeglumine (multihance), per ml
- A9578 — Injection, gadobenate dimeglumine (multihance multipack), per ml
- A9579 — Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml
- A9580 — Sodium fluoride f-18, diagnostic, per study dose, up to 30 millicuries
- A9581 — Injection, gadoxetate disodium, 1 ml