A9576 – Injection, gadoteridol, (prohance multipack), per ml

HCPCS Level II code · A codes: Transportation, Medical & Surgical Supplies, Miscellaneous & Experimental

Active code Carrier judgment

HCPCS codeA9576
Long description
Injection, gadoteridol, (prohance multipack), per ml
Short description
Inj prohance multipack
Pricing indicator
51 Drugs
Medicare coverage
C Carrier judgment – coverage decided by the Medicare contractor
BETOS category
I1E Standard 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

Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.