HCPCS code lookup
HCPCS Level II
A9579
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml
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- Code
- A9579
- Description
- Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml
NDC crosswalk
- 00270-1111-01 Prohance, Bracco Diagnostics Inc.. Billable units per 11-digit NDC: 50.
- 00270-1111-02 Prohance, Bracco Diagnostics Inc.. Billable units per 11-digit NDC: 75.
- 00270-1111-03 Prohance, Bracco Diagnostics Inc.. Billable units per 11-digit NDC: 100.
- 00270-1111-04 Prohance, Bracco Diagnostics Inc.. Billable units per 11-digit NDC: 25.
- 00270-1111-85 Prohance, Bracco Diagnostics Inc.. Billable units per 11-digit NDC: 500.
- 00407-0690-05 Omniscan, GE Healthcare Inc.. Billable units per 11-digit NDC: 50.
- 00407-0690-10 Omniscan, GE Healthcare Inc.. Billable units per 11-digit NDC: 100.
- 00407-0690-12 Omniscan, GE Healthcare Inc.. Billable units per 11-digit NDC: 100.
- 00407-0690-15 Omniscan, GE Healthcare Inc.. Billable units per 11-digit NDC: 150.
- 00407-0690-17 Omniscan, GE Healthcare Inc.. Billable units per 11-digit NDC: 150.
- 00407-0690-20 Omniscan, GE Healthcare Inc.. Billable units per 11-digit NDC: 200.
- 00407-0690-22 Omniscan, GE Healthcare Inc.. Billable units per 11-digit NDC: 200.
- 00407-0690-70 Omniscan, GE Healthcare Inc.. Billable units per 11-digit NDC: 1000.
- 50419-0323-11 Ambelvist, Bayer HealthCare Pharmaceuticals Inc.. Billable units per 11-digit NDC: 100.
- 70436-0121-31 Gadoteridol, Slate Run Pharmaceuticals. Billable units per 11-digit NDC: 25.
- 70436-0121-33 Gadoteridol, Slate Run Pharmaceuticals. Billable units per 11-digit NDC: 50.
- 70436-0121-34 Gadoteridol, Slate Run Pharmaceuticals. Billable units per 11-digit NDC: 75.
- 70436-0121-35 Gadoteridol, Slate Run Pharmaceuticals. Billable units per 11-digit NDC: 100.
Source: CMS ASP NDC-HCPCS crosswalk, effective October 1, 2026 through December 31, 2026.