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HCPCS code A9575: Gadoterate injection, per 0.1 mL2026 Medicare rate & RVUs

Reports gadoterate meglumine administered as intravenous MRI contrast, with each HCPCS unit representing 0.1 mL of drug.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare rate · A9575

Gadoterate injection, per 0.1 mL

Office or facility?

Work RVUs
0
Total RVUs
0.00
Global days
XXX

National rate · 2026

—

Not priced in the facility setting.

See every locality for A9575 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What A9575 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What A9575 covers

Gadoterate meglumine is an intravenous gadolinium-based contrast agent used during MRI to enhance visualization. Hospital imaging departments, outpatient MRI centers, and other facilities administering contrast may report the drug when it is supplied and administered for the study. The code identifies the contrast agent and its quantity, not the MRI acquisition or interpretation.

Medicare assigns this code status X: it is not a physician service under the Medicare statute, so the physician fee schedule does not pay it. When covered, payment is under another fee schedule or payment system; HCPCS pricing assigns other-contractor pricing, with the Medicare contractor setting payment. Coverage is left to the Medicare contractor’s judgment. Each unit represents 0.1 mL of gadoterate meglumine, so units are based on the volume reported.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where A9575 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

A9575 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailableUnavailable
AlaskaUnavailableUnavailable
ArizonaUnavailableUnavailable
ArkansasUnavailableUnavailable
Atlanta, GAUnavailableUnavailable
Austin, TXUnavailableUnavailable
Bakersfield, CAUnavailableUnavailable
Baltimore area, MDUnavailableUnavailable
Beaumont, TXUnavailableUnavailable
Brazoria, TXUnavailableUnavailable

A9575 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
A9575 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the A9575 rate is calculated

Each of A9575’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · A9575

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.00

0.00 RVUs× 1.000 GPCI

Practice expense0.00

0.00 RVUs× 1.000 GPCI

Malpractice0.00

0.00 RVUs× 1.000 GPCI

Adjusted RVUs

0.0000

Conversion factor

$33.4009

Medicare rate

$0.00

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for A9575

A9575 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

Place of service · A9575

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

POS 11 · non-facility rate · national

—

A9575 isn’t priced in this setting.

A9575 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • A9575

    Gadoterate injection, per 0.1 mL0 wRVU

    Not priced

  • A9579

    MRI contrast agent, unspecified agent, per mL0 wRVU

    Not priced

  • A9573

    Gadopiclenol injection, per 1 mL0 wRVU

    Not priced

  • A9585

    Gadobutrol injection, per 0.1 mL0 wRVU

    Not priced

  • A9576

    ProHance injection, per 1 mL0 wRVU

    Not priced

How to choose

A9579MRI contrast agentUnspecified agent, per mL
A9575 identifies gadoterate meglumine; A9579 is for gadolinium-based MRI contrast when the agent is reported under the nonspecific code.
A9573Gadopiclenol injectionPer 1 mL
A9573 identifies gadopiclenol. Use A9575 when the administered contrast agent is gadoterate meglumine.
A9585Gadobutrol injectionPer 0.1 mL
A9585 identifies gadobutrol, not gadoterate meglumine. Select the code matching the agent administered.
A9576ProHance injectionPer 1 mL
A9576 identifies ProHance multipack; A9575 identifies gadoterate meglumine.

Codes related to A9575

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to A9575
CodeHow it relatesNational office range
Used instead
A9573Gadopiclenol injection, per 1 mLIdentifies gadopiclenol, a different gadolinium-based MRI contrast agent.No office rate
A9576ProHance injection, per 1 mLIdentifies ProHance multipack rather than gadoterate meglumine.No office rate
A9579MRI contrast agent, unspecified agent, per mLFor gadolinium-based MRI contrast reported under the nonspecific agent code.No office rate
A9585Gadobutrol injection, per 0.1 mLIdentifies gadobutrol, a different gadolinium-based MRI contrast agent.No office rate

A9575 billing questions

How many milliliters does one unit represent?

One unit represents 0.1 mL of gadoterate meglumine. Report units based on the volume represented by the drug claim.

Does A9575 include the MRI or its interpretation?

No. A9575 identifies the gadoterate contrast agent and its quantity, not the MRI acquisition or interpretation.

Does Medicare pay A9575 under the physician fee schedule?

No. Status X identifies it as a statutory exclusion from physician fee schedule payment; when covered, it is handled under another fee schedule or payment system.

Who determines whether Medicare covers this code?

Coverage is left to the Medicare contractor’s judgment. The contractor also sets payment under the HCPCS other-contractor pricing method.

When should a different gadolinium contrast code be selected?

Use a different code when the administered agent is a different named product or when the agent is reported under the applicable nonspecific contrast code. A9575 identifies gadoterate meglumine.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates

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