2023 HCPCS Code C9457

Injection, sulfur hexafluoride lipid microsphere, per ml
Notice HCPCS C9457 terminated on December 31, 2015.
Short Description Lumason contrast agent
HCPCS Coverage Code D = Special coverage instructions apply
HCPCS Action Code N = No maintenance for this code
HCPCS Action Effective Date January 01, 2016
HCPCS Code Added Date October 01, 2015
HCPCS Termination Date December 31, 2015
HCPCS Pricing Indicator Code 53 = Statute
HCPCS Multiple Pricing Indicator Code A = Not applicable as HCPCS priced under one methodology
HCPCS Statute Number 1833(t)
HCPCS Cross Reference Code Q9950
HCPCS Type Of Service Code 4 = Diagnostic radiology
F = Ambulatory surgical center (facility usage for surgical services)
HCPCS Anesthesia Base Unit Quantity 0