HCPCS code lookup

HCPCS Level II

A9577

Injection, gadobenate dimeglumine (multihance), per ml

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Code
A9577
Description
Injection, gadobenate dimeglumine (multihance), per ml

CMS HCPCS quarterly update

NDC crosswalk

  • 00270-5164-12 Multihance, Bracco Diagnostics Inc.. Billable units per 11-digit NDC: 25.
  • 00270-5164-13 Multihance, Bracco Diagnostics Inc.. Billable units per 11-digit NDC: 50.
  • 00270-5164-14 Multihance, Bracco Diagnostics Inc.. Billable units per 11-digit NDC: 75.
  • 00270-5164-15 Multihance, Bracco Diagnostics Inc.. Billable units per 11-digit NDC: 100.

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

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