GADAVIST A Code: A9585
Injection, gadobutrol, 0.1 ml
Q4 2026 Medicare Payment Limit for A9585, effective October 1, 2026: $0.235 per HCPCS billing unit, down 10.3% from $0.262. From CMS's final file.
Drug & Product Overview
About GADAVIST
Gadavist is a medication aligned to the HCPCS A Code: A9585 for billing, pricing, and reimbursement purposes in the United States. This Imaging/Radiopharmaceutical medication is administered via the intravenous route and manufactured by multiple companies.
According to CMS Drug Use Information: This medication is used before a magnetic resonance imaging (MRI) scan. It belongs to a class of drugs known as gadolinium-based contrast agents (GBCAs). This medication helps the MRI scan make clearer images, so your doctor can more easily diagnose your condition.
Disclaimer: This is a summary and does not contain all possible information about this product. For complete information about this product or your specific health needs, ask your healthcare professional.
NDC Code Information
Based on publicly available CMS files. Showing 5 of 23 NDCs — log in for the full crosswalk.
| NDC Code | Drug | Manufacturer | Billing Units / Pkg | Package Size |
|---|---|---|---|---|
| 50419-0325-11 | Gadavist | Bayer HealthCare Pharmaceuticals Inc. | 1500 | 4535.4 MG / 7.5 ML |
| 50419-0325-12 | Gadavist | Bayer HealthCare Pharmaceuticals Inc. | 2000 | 6047.2 MG / 10 ML |
| 50419-0325-13 | Gadavist | Bayer HealthCare Pharmaceuticals Inc. | 3000 | 9070.8 MG / 15 ML |
| 65219-0281-02 | Gadobutrol | Fresenius Kabi USA, LLC | 300 | 1209.44 MG / 2 ML |
| 70436-0212-54 | gadobutrol | Slate Run Pharmaceuticals, LLC | 1500 | 4535.4 MG / 7.5 ML |
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GADAVIST Pricing & Reimbursement
National median reimbursement across major commercial payers.
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Login to use the calculator →GADAVIST CPT Administration Codes
The below list of CPT codes is intended for informational purposes only and may not be exhaustive. CPT® codes and descriptions are copyright American Medical Association (AMA). All rights reserved.
| CPT Code | Description |
|---|---|
| 96374 | Therapeutic, prophylactic, or diagnostic injection (specify substance or drug), IV push, single, or initial substance/drug |
CMS does not include Gadavist (A9585) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing A9585. Wastage billing guide →
GADAVIST Medically Unlikely Edits (MUE)
The most billing units of A9585 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 0.1 ml.
MAI 3 · Date of Service Edit: Clinical. Per-day limit based on clinical expectations; excess units are denied but may be appealed with documentation of medical necessity. See all MUE limits →
GADAVIST Clinical Information
Indications and drug classification.
This list of indications is not exhaustive and may be subject to errors. The information on BuyandBill.com is intended for informational purposes only and should not be used for medical advice.
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Frequently Asked Questions
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Does billing GADAVIST require JZ/JW wastage modifiers?
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