How To Use HCPCS Code A9583

HCPCS code A9583 describes the injection of gadofosveset trisodium, 1 ml. This code is used to identify the administration of gadofosveset trisodium, a contrast agent used in diagnostic radiology procedures. In this article, we will explore the details of HCPCS code A9583, including its official description, procedure, when to use it, billing guidelines, historical information, Medicare and insurance coverage, and provide examples of when this code should be billed.

1. What is HCPCS A9583?

HCPCS code A9583 is used to identify the injection of gadofosveset trisodium, 1 ml. This code specifically represents the administration of the contrast agent gadofosveset trisodium, which is used in diagnostic radiology procedures.

2. Official Description

The official description of HCPCS code A9583 is “Injection, gadofosveset trisodium, 1 ml.” The short description for this code is “Gadofosveset trisodium inj.”

3. Procedure

1. Prepare the patient for the diagnostic radiology procedure.
2. Ensure the appropriate dosage of gadofosveset trisodium, 1 ml is available.
3. Administer the injection of gadofosveset trisodium, 1 ml to the patient according to the prescribed guidelines.
4. Monitor the patient for any adverse reactions or side effects.
5. Document the administration of gadofosveset trisodium, 1 ml in the patient’s medical records.

4. When to use HCPCS code A9583

HCPCS code A9583 should be used when administering gadofosveset trisodium, 1 ml as part of a diagnostic radiology procedure. This code is specifically for the injection of gadofosveset trisodium and should not be used for any other purposes or medications.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code A9583, healthcare providers should ensure that the administration of gadofosveset trisodium, 1 ml is properly documented in the patient’s medical records. This documentation should include the date and time of administration, the dosage administered, and any relevant clinical information. Providers should also follow the billing guidelines set forth by their respective payers to ensure accurate and timely reimbursement.

6. Historical Information and Code Maintenance

HCPCS code A9583 was added to the Healthcare Common Procedure Coding System on January 01, 2010. Since its addition, there have been no maintenance actions taken for this code, as indicated by the action code N, which means no maintenance for this code. This code has been in use since its inception without any significant changes or revisions.

7. Medicare and Insurance Coverage

The coverage of HCPCS code A9583 by Medicare and other insurance providers may vary. Providers should refer to the pricing indicator code and multiple pricing indicator code to determine how the service or supply is priced by Medicare or other insurers. It is important to verify coverage and reimbursement policies with the respective payers to ensure proper billing and reimbursement.

8. Examples

Here are five examples of when HCPCS code A9583 should be billed:

1. A patient undergoes an MRI scan with contrast using gadofosveset trisodium.
2. A patient receives a CT angiography with gadofosveset trisodium injection.
3. A patient undergoes a magnetic resonance angiography (MRA) with gadofosveset trisodium injection.
4. A patient undergoes a vascular ultrasound with gadofosveset trisodium injection.
5. A patient receives a cardiac MRI with gadofosveset trisodium injection.