A9700 HCPCS code: Supply of injectable contrast material for use in echocardiography, per study
A9700 is the HCPCS Level II code for supply of injectable contrast material for use in echocardiography, per study. In 2023 Medicare paid an average of $95.29 per service for A9700 across 23 services. Its Medicare coverage code is D (Special coverage instructions apply): Medicare covers it when its national or local coverage criteria are met. The NCCI unit limit is 2 per day on outpatient hospital claims. Medicare volume fell 12% from 2022 to 2023 (26 to 23 services). In 2023, about 10 clinicians billed Medicare for A9700 for 19 beneficiaries.
Code details
| Field | Value |
|---|---|
| Section | A codes — Transportation, medical/surgical supplies and miscellaneous |
| Coverage code | D — Special coverage instructions apply |
| Pricing indicator | 57 |
| BETOS category | I1E |
| Added | 2001-01-01 |
| Last action effective | 2001-01-01 |
Who bills A9700 (2023)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 10 |
| Medicare beneficiaries | 19 |
| States with claims | 1 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for A9700, 2022–2023
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 26 | 26 | $126.75 | $101.38 |
| 2023 | 23 | 19 | $120.50 | $95.29 |
States with the most A9700 services (2023)
| State | Services | Avg. paid |
|---|---|---|
| Pennsylvania | 16 | $79.55 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 2 | Nature of Service/Procedure |
| practitioner claims | 2 | Nature of Service/Procedure |
Medicare policy articles for this code
- A56625: Billing and Coding: Echocardiography (Palmetto GBA (MAC - Part A, MAC - Part B))
- A56625: Billing and Coding: Echocardiography (Palmetto GBA (MAC - Part A, MAC - Part B))
- A56781: Billing and Coding: Transthoracic Echocardiography (TTE) (Wellpoint Federal (MAC - Part A, MAC - Part B))
- A57306: Billing and Coding: Transthoracic Echocardiography (TTE) (CGS Administrators, LLC (MAC - Part A, MAC - Part B))
- A58503: Billing and Coding: Echocardiography for Myocardial Perfusion (Palmetto GBA (MAC - Part A, MAC - Part B))
Covered diagnoses (2,396 ICD-10-CM codes)
The diagnoses most often listed as covered in the policy articles above:
| ICD-10-CM | Diagnosis | Articles listing it |
|---|---|---|
| I20.0 | Unstable angina | 4 |
| I20.1 | Angina pectoris with documented spasm | 4 |
| I20.81 | Angina pectoris with coronary microvascular dysfunction | 4 |
| I20.89 | Other forms of angina pectoris | 4 |
| I21.01 | ST elevation (STEMI) myocardial infarction involving left main coronary artery | 4 |
| I21.02 | ST elevation (STEMI) myocardial infarction involving left anterior descending coronary artery | 4 |
| I21.09 | ST elevation (STEMI) myocardial infarction involving other coronary artery of anterior wall | 4 |
| I21.11 | ST elevation (STEMI) myocardial infarction involving right coronary artery | 4 |
| I21.19 | ST elevation (STEMI) myocardial infarction involving other coronary artery of inferior wall | 4 |
| I21.21 | ST elevation (STEMI) myocardial infarction involving left circumflex coronary artery | 4 |
Showing 10 of 2,396. The full list, non-covered diagnoses and CSV export are in Caduvo.
What changed for A9700
- 2001-01-01: A9700 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 A9700?
A9700 is the HCPCS Level II code for supply of injectable contrast material for use in echocardiography, per study. Short descriptor: "Echocardiography contrast".
How much does Medicare pay for A9700?
In 2023, the average Medicare payment was $95.29 per service (average allowed $120.50).
Does Medicare cover A9700?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
Which diagnoses support coverage for A9700?
Medicare policy articles that cite A9700 list 2,396 covered ICD-10-CM diagnosis codes across 5 articles. The most cited include I20.0 (Unstable angina), I20.1 (Angina pectoris with documented spasm), I20.81 (Angina pectoris with coronary microvascular dysfunction). A listed diagnosis is necessary but not sufficient; the policy's other criteria still apply.
How many units of A9700 can be billed per day?
2 on outpatient hospital claims; 2 on practitioner claims (NCCI medically unlikely edits).
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 A9700
- Watch A9700 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for A9700
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.