A9578 HCPCS code: Injection, gadobenate dimeglumine (multihance multipack), per ml
A9578 is the HCPCS Level II code for injection, gadobenate dimeglumine (multihance multipack), per ml. In 2024 Medicare paid an average of $1.31 per service for A9578 across 97,729 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 rose 73% from 2022 to 2024 (56,598 to 97,729 services). In 2024, about 122 clinicians billed Medicare for A9578 for 6,128 beneficiaries; Florida, South Carolina, Colorado accounted for 74% 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 A9578 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 122 |
| Medicare beneficiaries | 6,128 |
| States with claims | 16 |
| Share of services in top 3 states (Florida, South Carolina, Colorado) | 74% |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for A9578, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 56,598 | 4,003 | $1.75 | $1.39 |
| 2023 | 75,932 | 5,136 | $1.79 | $1.41 |
| 2024 | 97,729 | 6,128 | $1.74 | $1.31 |
States with the most A9578 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Florida | 32,268 | $1.26 |
| South Carolina | 26,192 | $1.27 |
| Colorado | 13,828 | $1.39 |
| New York | 7,550 | $1.36 |
| Illinois | 5,382 | $1.32 |
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 A9578
- 2008-01-01: A9578 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 A9578?
A9578 is the HCPCS Level II code for injection, gadobenate dimeglumine (multihance multipack), per ml. Short descriptor: "Inj multihance multipack".
How much does Medicare pay for A9578?
In 2024, the average Medicare payment was $1.31 per service (average allowed $1.74).
Does Medicare cover A9578?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
How many units of A9578 can be billed per day?
50 on outpatient hospital claims; 50 on practitioner claims (NCCI medically unlikely edits).
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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 A9578
- Watch A9578 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for A9578
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.