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A9577 - Inj multihance

Navigation: HCPCS Codes > Codes with Prefix: A9
Field Value
HCPCS Code: A9577
Long Description: Injection, gadobenate dimeglumine (multihance), per ml
Short Description: Inj multihance
Pricing Indicator 1: 51 (Drugs)
Multiple Pricing Code: A (Not applicable as HCPCS priced under one methodology)
Statute Number:
Coverage Code: C (Carrier judgment)
ASC Payment Group Code:
Processing Note Number:
Berenson-Eggers Type of Service (BETOS) Code: I1E (Standard imaging - nuclear medicine)
Type of Service Code 1: 4 (Diagnostic radiology)
Anesthesia Base Unit Quality: 0
Code Added: 01-01-2008
Action Effective Date: 01-01-2008
Action Code: N (No maintenance for this code)