Home › Drug Codes › A Codes › A9579 · OMNISCAN
Updated July 1st, 2026

OMNISCAN A Code: A9579

Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml

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Q4 2026 Medicare Payment Limit for A9579, effective October 1, 2026: $1.435 per HCPCS billing unit, unchanged from Q3 2026. From CMS's final file.

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Medicare Payment Limit ?
$1.435
/ HCPCS billing unit · Q3 2026
APC Payment Limit ?
Not published
CMS publishes none for Q3 2026
ASP ?
$•••.••
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WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
17
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Drug & Product Overview

HCPCS Descriptor Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml
HCPCS Added Date January 1, 2008
Manufacturer Multiple Manufacturers
Route of Administration Intravenous
Generic Status Multi-Source; Generic
Dosage Type Single-Dose
Dosage Form Injection | Injection, Solution

About OMNISCAN

Omniscan is a medication aligned to the HCPCS A Code: A9579 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 17 NDCs — log in for the full crosswalk.

NDC Code Drug Manufacturer Billing Units / Pkg Package Size
00270-1111-01 ProHance BRACCO DIAGNOSTICS INC 50 2793 MG / 10 ML
00270-1111-02 ProHance BRACCO DIAGNOSTICS INC 75 4189.5 MG / 15 ML
00407-0690-05 Omniscan GE Healthcare Inc. 50 287 MG
70436-0121-31 Gadoteridol Slate Run Pharmaceuticals, LLC 25 1396.5 MG / 5 ML
50419-0323-11 Ambelvist Bayer HealthCare Pharmaceuticals Inc. 100 2579 MG / 10 ML
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OMNISCAN
OMNISCAN
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OMNISCAN Pricing & Reimbursement

A9579 Private Payer Reimbursement
$1.37 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

Create an account on PayerPrice for more information →
UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

Historical Graphing and Billing Calculator

per HCPCS unit
As of Q3 2026

OMNISCAN 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
Not on the CMS JW / JZ list

CMS does not include Omniscan (A9579) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing A9579. Wastage billing guide →

OMNISCAN Medically Unlikely Edits (MUE)

The most billing units of A9579 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 ml.

Practitioner Office & Hospital Outpatient
100 units / day
= 100 ml per day

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 →

ml Enter a dose to see how many billing units it is and whether it is under the limit.

OMNISCAN Clinical Information

Indications and drug classification.

Treated Diseases & Conditions

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.

Body lesions (intrathoracic [noncardiac], intra-abdominal, pelvic, and retroperitoneal regions) CNS lesions (intracranial, spine, and associated tissues) MRI of Extracranial/Extraspinal Head and Neck MRI of Extracranial/Extraspinal Tissues MRI of the Central Nervous System (CNS)
Drug Class
Magnetic Resonance Contrast Activity [MoA]Paramagnetic Contrast Agent [EPC]

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Frequently Asked Questions

Is there an available Omniscan billing and coding guide?
We have not yet identified a manufacturer source of Omniscan billing and coding information.
Are there any available Omniscan patient assistance programs?
Our team did not identify a source for Omniscan patient assistance information. Please reach out to our team if you feel that this is a mistake.
Where can I find Omniscan prescribing information?
OMNISCAN 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. Visit Here →
Where can I find Omniscan side effect information?
Our team has not yet identified a source of side effects information for OMNISCAN. Please check back in a few weeks.
Does billing OMNISCAN require JZ/JW wastage modifiers?
CMS does not include OMNISCAN (A9579) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing A9579. For more information, visit the link below.

About BuyandBill.com:

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