C9457 – Injection, sulfur hexafluoride lipid microsphere, per ml
HCPCS Level II code · C codes: Outpatient PPS (Hospital Outpatient)
HCPCS codeC9457
- Long description
- Injection, sulfur hexafluoride lipid microsphere, per ml
- Short description
- Lumason contrast agent
- Pricing indicator
53Statute- Medicare coverage
DSpecial coverage instructions apply- BETOS category
O1EOther drugs- Cross reference
- Q9950
- Added
- October 1, 2015
- Last change
- January 1, 2016 – No change
- Termination date
- December 31, 2015
Frequently asked questions
What is HCPCS code C9457?
C9457 is a HCPCS Level II code for injection, sulfur hexafluoride lipid microsphere, per ml. It was discontinued on December 31, 2015.
Does Medicare cover C9457?
The HCPCS file lists coverage code D: Special coverage instructions apply. Coverage and payment also depend on local coverage determinations and the patient’s plan.
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Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.