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HCPCS Level II · Outpatient PPS (temporary codes)

C9457Injection, sulfur hexafluoride lipid microsphere, per ml

Terminated 12/31/2015

Source: CMS HCPCS quarterly update, October 2026. Page updated September 29, 2026.

About C9457

C9457 is an HCPCS Level II code in the C series (outpatient PPS (temporary codes)), describing injection, sulfur hexafluoride lipid microsphere, per ml.

It was added to HCPCS effective 10/01/2015, and its current record took effect 01/01/2016.

It was terminated on 12/31/2015 and can't be billed for later dates of service.

Its Medicare coverage code is "D", meaning special Medicare coverage instructions apply.

Details

Short description
Lumason contrast agent
Date added
10/01/2015
Action effective
01/01/2016
Termination date
12/31/2015
BETOS
O1E

Related C94xx codes

Common questions about C9457

Is HCPCS C9457 still valid?

No. C9457 was terminated on 12/31/2015.

Does Medicare cover C9457?

Its coverage code is "D": special Medicare coverage instructions apply. Check the local coverage determination for your region.