A9576 – Injection, gadoteridol, (prohance multipack), per ml
HCPCS Level II code · A codes: Transportation, Medical & Surgical Supplies, Miscellaneous & Experimental
HCPCS codeA9576
- Long description
- Injection, gadoteridol, (prohance multipack), per ml
- Short description
- Inj prohance multipack
- Pricing indicator
51Drugs- Medicare coverage
CCarrier judgment – coverage decided by the Medicare contractor- BETOS category
I1EStandard imaging - nuclear medicine- Added
- January 1, 2008
- Last change
- January 1, 2008 – No change
Frequently asked questions
What is HCPCS code A9576?
A9576 is a HCPCS Level II code for injection, gadoteridol, (prohance multipack), per ml.
Does Medicare cover A9576?
The HCPCS file lists coverage code C: Carrier judgment – coverage decided by the Medicare contractor. Coverage and payment also depend on local coverage determinations and the patient’s plan.
Nearby A codes
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- A9572 – Indium in-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries
- A9573 – Injection, gadopiclenol, 1 ml
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- A9577 – Injection, gadobenate dimeglumine (multihance), per ml
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Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.