A9585

Code

A9585

Description

Injection, gadobutrol, 0.1 ml

CMS HCPCS quarterly update

• 50419-0325-11 Gadavist, Bayer HealthCare Pharmaceuticals Inc.. Billable units per 11-digit NDC: 1500.
• 50419-0325-12 Gadavist, Bayer HealthCare Pharmaceuticals Inc.. Billable units per 11-digit NDC: 2000.
• 50419-0325-13 Gadavist, Bayer HealthCare Pharmaceuticals Inc.. Billable units per 11-digit NDC: 3000.
• 50419-0325-14 Gadavist, Bayer HealthCare Pharmaceuticals Inc.. Billable units per 11-digit NDC: 3000.
• 50419-0325-15 Gadavist, Bayer HealthCare Pharmaceuticals Inc.. Billable units per 11-digit NDC: 6500.
• 50419-0325-18 Gadavist, Bayer HealthCare Pharmaceuticals Inc.. Billable units per 11-digit NDC: 3000.
• 50419-0325-19 Gadavist, Bayer HealthCare Pharmaceuticals Inc.. Billable units per 11-digit NDC: 6500.
• 50419-0325-27 Gadavist, Bayer HealthCare Pharmaceuticals Inc.. Billable units per 11-digit NDC: 375.
• 50419-0325-28 Gadavist, Bayer HealthCare Pharmaceuticals Inc.. Billable units per 11-digit NDC: 500.
• 50419-0325-29 Gadavist, Bayer HealthCare Pharmaceuticals Inc.. Billable units per 11-digit NDC: 750.
• 50419-0325-37 Gadavist, Bayer HealthCare Pharmaceuticals Inc.. Billable units per 11-digit NDC: 300.
• 65219-0281-02 Gadobutrol, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 300.
• 65219-0281-07 Gadobutrol, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 1500.
• 65219-0281-10 Gadobutrol, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 2000.
• 65219-0281-15 Gadobutrol, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 3000.
• 65219-0287-30 Gadobutrol, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 3000.
• 65219-0289-65 Gadobutrol, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 6500.
• 70436-0212-54 Gadobutrol, Slate Run Pharmaceuticals. Billable units per 11-digit NDC: 1500.
• 70436-0212-80 Gadobutrol, Slate Run Pharmaceuticals. Billable units per 11-digit NDC: 75.
• 70436-0213-82 Gadobutrol, Slate Run Pharmaceuticals. Billable units per 11-digit NDC: 1000.
• 70436-0214-54 Gadobutrol, Slate Run Pharmaceuticals. Billable units per 11-digit NDC: 3000.
• 70436-0214-80 Gadobutrol, Slate Run Pharmaceuticals. Billable units per 11-digit NDC: 150.
• 70436-0216-51 Gadobutrol, Slate Run Pharmaceuticals. Billable units per 11-digit NDC: 1500.
• 70436-0217-50 Gadobutrol, Slate Run Pharmaceuticals. Billable units per 11-digit NDC: 650.

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