Question 1

What is HCPCS code A9579?

Accepted Answer

HCPCS code A9579 is "Gad-base mr contrast nos,1ml". Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml

Question 2

What category is A9579 in?

Accepted Answer

A9579 belongs to HCPCS Category A (Transportation, Medical/Surgical Supplies, Miscellaneous).

Question 3

When should I use HCPCS code A9579?

Accepted Answer

Use A9579 when billing for gad-base mr contrast nos,1ml. HCPCS Level II codes like this are used for items and services not covered by CPT codes, including medical supplies, equipment, drugs administered in clinical settings, and certain healthcare services.

Question 4

Is A9579 covered by Medicare?

Accepted Answer

Coverage for A9579 (Gad-base mr contrast nos,1ml) depends on medical necessity and specific Medicare guidelines. Check the applicable Local Coverage Determination (LCD) or National Coverage Determination (NCD) for detailed coverage criteria. Private insurers may have different coverage policies.

Question 5

What documentation is required for A9579?

Accepted Answer

Documentation for A9579 should include: the medical necessity for the item or service, supporting diagnosis codes (ICD-10), prescription or order from the treating physician, and proof that the item meets quality standards. Some items may require additional documentation like a Certificate of Medical Necessity (CMN).