Radiology Question for the Week of February 6, 2017

Question:

Can you tell me the codes for the MRI contrast materials ProHance and MultiHance?

Answer:

There are two codes to choose from for each of these products. Multihance single-use products are reported with code A9577, while Multihance Multipack is reported with code A9578.

  • A9577 Injection, gadobenate dimeglumine (multihance), per ml
  • A9578 Injection, gadobenate dimeglumine (multihance multipack), per ml

Prohance Multipack is reported with code A9576 while Prohance single-use products are reported with the generic gadolinium code A9579.

  • A9576 Injection, gadoteridol, (prohance multipack), per ml
  • A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (NOS), per ml

All four of these codes are reported per ml given. They are packaged under the hospital outpatient prospective system (OPPS) for outpatient hospital billing but should be paid separately for non-hospital imaging centers and physician offices.

Disclaimer: Every reasonable effort was made to ensure the accuracy of this information at the time it was published. However, due to the nature of industry changes over time we cannot guarantee its validity after the year it was published.