C9457

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 radiologyF = Ambulatory surgical center (facility usage for surgical services)

HCPCS Anesthesia Base Unit Quantity

• 0