A9573 HCPCS code: Injection, gadopiclenol, 1 ml
A9573 is the HCPCS Level II code for injection, gadopiclenol, 1 ml. In 2024 Medicare paid an average of $4.12 per service for A9573 across 226,711 services. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. The NCCI unit limit is 18 per day on outpatient hospital claims. Medicare volume rose 1115% from 2023 to 2024 (18,655 to 226,711 services). In 2024, about 961 clinicians billed Medicare for A9573 for 23,165 beneficiaries; Florida, California, New Jersey accounted for 36% of services.
Code details
| Field | Value |
|---|---|
| Section | A codes — Transportation, medical/surgical supplies and miscellaneous |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 51 — Drug or biological (priced per ASP/average sales price rules) |
| BETOS category | I1E |
| Added | 2023-10-01 |
| Last action effective | 2023-10-01 |
Who bills A9573 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 961 |
| Medicare beneficiaries | 23,165 |
| States with claims | 39 |
| Share of services in top 3 states (Florida, California, New Jersey) | 36% |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for A9573, 2023–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2023 | 18,655 | 1,998 | $6.66 | $5.30 |
| 2024 | 226,711 | 23,165 | $5.19 | $4.12 |
States with the most A9573 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Florida | 36,425 | $3.59 |
| California | 25,123 | $3.76 |
| New Jersey | 19,044 | $4.19 |
| New York | 18,703 | $5.35 |
| Alaska | 18,152 | $4.21 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 18 | Prescribing Information |
| practitioner claims | 18 | Prescribing Information |
What changed for A9573
- 2023-10-01: A9573 added to HCPCS Level II
- Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01
Frequently asked questions
What is HCPCS code A9573?
A9573 is the HCPCS Level II code for injection, gadopiclenol, 1 ml. Short descriptor: "Inj, gadopiclenol, 1 ml".
How much does Medicare pay for A9573?
In 2024, the average Medicare payment was $4.12 per service (average allowed $5.19).
Does Medicare cover A9573?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
How many units of A9573 can be billed per day?
18 on outpatient hospital claims; 18 on practitioner claims (NCCI medically unlikely edits).
Related A95 codes
- A9500 — Technetium tc-99m sestamibi, diagnostic, per study dose
- A9501 — Technetium tc-99m teboroxime, diagnostic, per study dose
- A9502 — Technetium tc-99m tetrofosmin, diagnostic, per study dose
- A9503 — Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries
- A9504 — Technetium tc-99m apcitide, diagnostic, per study dose, up to 20 millicuries
- A9505 — Thallium tl-201 thallous chloride, diagnostic, per millicurie
- A9506 — Graphite crucible for preparation of technetium tc 99m-labeled carbon aerosol, one crucible
- A9507 — Indium in-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuries
- A9508 — Iodine i-131 iobenguane sulfate, diagnostic, per 0.5 millicurie
- A9509 — Iodine i-123 sodium iodide, diagnostic, per millicurie
- A9510 — Technetium tc-99m disofenin, diagnostic, per study dose, up to 15 millicuries
- A9512 — Technetium tc-99m pertechnetate, diagnostic, per millicurie
Building a device that would bill under a code like this? Caduvo matches a device description to HCPCS/CPT codes, Medicare coverage and payment, and the FDA pathway in one report.
Next steps
- Run a reimbursement report for a device billed under A9573
- Watch A9573 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for A9573
Sources: CMS HCPCS Level II release October 2026; CMS DMEPOS fee schedule; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.