A9573

Code

A9573

Description

Injection, gadopiclenol, 1 ml

CMS HCPCS quarterly update

• 00270-7015-46 Vueway, Bracco Diagnostics Inc.. Billable units per 11-digit NDC: 750.
• 00270-7015-48 Vueway, Bracco Diagnostics Inc.. Billable units per 11-digit NDC: 1250.
• 00270-7020-38 Vueway, Bracco Diagnostics Inc.. Billable units per 11-digit NDC: 30.
• 00270-7025-40 Vueway, Bracco Diagnostics Inc.. Billable units per 11-digit NDC: 75.
• 00270-7030-42 Vueway, Bracco Diagnostics Inc.. Billable units per 11-digit NDC: 100.
• 67684-4230-02 Elucirem, Guerbet LLC. Billable units per 11-digit NDC: 30.
• 67684-4231-02 Elucirem, Guerbet LLC. Billable units per 11-digit NDC: 75.
• 67684-4232-02 Elucirem, Guerbet LLC. Billable units per 11-digit NDC: 100.
• 67684-4240-02 Elucirem, Guerbet LLC. Billable units per 11-digit NDC: 75.
• 67684-4241-02 Elucirem, Guerbet LLC. Billable units per 11-digit NDC: 100.
• 67684-4250-04 Elucirem, Guerbet LLC. Billable units per 11-digit NDC: 1250.

Source: CMS ASP NDC-HCPCS crosswalk, effective October 1, 2026 through December 31, 2026.