A9577 HCPCS code: Injection, gadobenate dimeglumine (multihance), per ml
A9577 is the HCPCS Level II code for injection, gadobenate dimeglumine (multihance), per ml. In 2024 Medicare paid an average of $1.36 per service for A9577 across 397,443 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 50 per day on outpatient hospital claims. Medicare volume fell 32% from 2022 to 2024 (588,387 to 397,443 services). In 2024, about 1,590 clinicians billed Medicare for A9577 for 25,545 beneficiaries; Florida, Colorado, New York accounted for 32% 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 | 2008-01-01 |
| Last action effective | 2008-01-01 |
Who bills A9577 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 1,590 |
| Medicare beneficiaries | 25,545 |
| States with claims | 45 |
| Share of services in top 3 states (Florida, Colorado, New York) | 32% |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for A9577, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 588,387 | 38,866 | $1.80 | $1.42 |
| 2023 | 511,071 | 33,463 | $1.74 | $1.37 |
| 2024 | 397,443 | 25,545 | $1.72 | $1.36 |
States with the most A9577 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Florida | 68,020 | $1.42 |
| Colorado | 30,094 | $1.39 |
| New York | 27,543 | $1.12 |
| South Carolina | 23,534 | $1.41 |
| California | 23,122 | $1.35 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 50 | Clinical: Data |
| practitioner claims | 50 | Clinical: Data |
What changed for A9577
- 2008-01-01: A9577 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 A9577?
A9577 is the HCPCS Level II code for injection, gadobenate dimeglumine (multihance), per ml. Short descriptor: "Inj multihance".
How much does Medicare pay for A9577?
In 2024, the average Medicare payment was $1.36 per service (average allowed $1.72).
Does Medicare cover A9577?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
How many units of A9577 can be billed per day?
50 on outpatient hospital claims; 50 on practitioner claims (NCCI medically unlikely edits).
Related A95 codes
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Next steps
- Run a reimbursement report for a device billed under A9577
- Watch A9577 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for A9577
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.