A9575 HCPCS code: Injection, gadoterate meglumine, 0.1 ml
A9575 is the HCPCS Level II code for injection, gadoterate meglumine, 0.1 ml. In 2024 Medicare paid an average of $0.09 per service for A9575 across 54,986,780 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 300 per day on outpatient hospital claims. Medicare volume rose 31% from 2022 to 2024 (42,055,622 to 54,986,780 services). In 2024, about 6,687 clinicians billed Medicare for A9575 for 322,141 beneficiaries; Texas, Florida, California accounted for 30% of services.
Code details
| Field | Value |
|---|---|
| Section | A codes — Transportation, medical/surgical supplies and miscellaneous |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 57 |
| BETOS category | I1E |
| Added | 2014-01-01 |
| Last action effective | 2014-01-01 |
Who bills A9575 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 6,687 |
| Medicare beneficiaries | 322,141 |
| States with claims | 55 |
| Share of services in top 3 states (Texas, Florida, California) | 30% |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for A9575, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 42,055,622 | 263,284 | $0.14 | $0.11 |
| 2023 | 49,769,038 | 295,465 | $0.14 | $0.11 |
| 2024 | 54,986,780 | 322,141 | $0.12 | $0.09 |
States with the most A9575 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Texas | 5,590,392 | $0.10 |
| Florida | 5,544,008 | $0.10 |
| California | 5,272,224 | $0.09 |
| New York | 5,093,762 | $0.09 |
| New Jersey | 4,577,461 | $0.09 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 300 | Clinical: Data |
| practitioner claims | 300 | Clinical: Data |
What changed for A9575
- 2014-01-01: A9575 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 A9575?
A9575 is the HCPCS Level II code for injection, gadoterate meglumine, 0.1 ml. Short descriptor: "Inj gadoterate meglumi 0.1ml".
How much does Medicare pay for A9575?
In 2024, the average Medicare payment was $0.09 per service (average allowed $0.12).
Does Medicare cover A9575?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
How many units of A9575 can be billed per day?
300 on outpatient hospital claims; 300 on practitioner claims (NCCI medically unlikely edits).
Related A95 codes
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- A9512 — Technetium tc-99m pertechnetate, diagnostic, per millicurie
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Next steps
- Run a reimbursement report for a device billed under A9575
- Watch A9575 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for A9575
Sources: CMS HCPCS Level II release October 2025; 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.