Multiple Manufacturers

CLARISCAN

ASP | WAC | AWP at the HCPCS Unit

Manufacturer:

Multiple Manufacturers

Clariscan HCPCS:

A9575

HCPCS Code Descriptor:

Injection, gadoterate meglumine, 0.1 ml

Category:

A Code

Clariscan NDCs:

67684-2000-02, 00407-2943-17, 00407-2943-02, 67684-3001-03, 00407-2943-12, 67684-2001-03, 67684-2000-01, 00407-2943-01, 67684-2000-07, 67684-3001-02, 67684-2001-02, 65219-0086-20, 67684-2000-06, 67684-3001-01, 67684-2001-01, 65219-0084-15, 67684-2000-05, 67684-2001-00, 67684-2000-00, 65219-0082-10, 00407-2943-70, 65219-0080-05, 00407-2943-06, 67684-2001-04, 00407-2943-22, 67684-2000-04, 65219-0088-50, 00407-2943-05, 67684-2000-03

Primary Type:

Imaging/Radiopharmaceutical

Generic/Specialty Status:

Multi-Source

Package Type:

Not Found

Route of Administration:

Intravenous

Clariscan CPT Codes:

-70552, 70553, 72142, 72147, 72149, 72156, 72157, 72158 *More information on these CPT codes can be found here https://www.gehealthcare.com/-/jssmedia/1aa2fdb046e645e6877dd28c73b2489b.pdf

Some of the most common CPT administration codes for 'buy and bill' drugs can be found at the following link:

Potential NDC Listing Errors:

We have identified listing errors with the following NDCs:

67684-2000-03, 00407-2943-05, 67684-2000-04, 65219-0088-50, 00407-2943-22, 00407-2943-06, 67684-2001-04, 65219-0080-05, 00407-2943-70, 67684-2000-00, 65219-0082-10, 67684-2001-00, 65219-0084-15, 67684-2000-05, 67684-2001-01, 67684-2000-06, 67684-3001-01, 65219-0086-20, 67684-2001-02, 67684-2000-07, 67684-3001-02, 00407-2943-01, 67684-2001-03, 67684-2000-01, 00407-2943-12, 00407-2943-02, 67684-3001-03, 00407-2943-17, 67684-2000-02

About Clariscan:

CLARISCAN is a medication manufactured by multiple manufacturers and aligned to the A Code: A9575. CLARISCAN is administered via the intravenous route of administration.

Clariscan is an injection that belongs to a group of medicines called GBCAs, which stands for gadolinium-based contrast agents. Clariscan is administered to patients before an MRI scan. Clariscan helps make MRI images easier to read by calling attention to areas of the body with irregular vascularity. This helps doctors spot issues and makes diagnosing easier.

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A9575 Added Date:

January 1, 2014

A9575 Effective Date:

January 1, 2014

A9575 Termination Date:

HCPCS Active

View a Clariscan billing and coding guide at the link below:
Our team did not identify a source for Clariscan patient assistance information. Please reach out to our team if you feel that this is a mistake.
CLARISCAN prescribing information can be found at the link below. Please reach out to us if you believe this information to be innacurate or out of date.
Our team has not yet identified a source of side effects information for CLARISCAN. Please check back in a few weeks.