`A9700` Echocardiography contrast

Supply of injectable contrast material for use in echocardiography, per study

Medicare coverage: Special coverage instructions apply
Status: active (October 2026 file)

Medically Unlikely Edits (effective October 1, 2026)

Practitioner: max 2 units per day (clinical), rationale: Nature of Service/Procedure
Outpatient hospital: max 2 units per day (clinical), rationale: Nature of Service/Procedure

Medicare pricing for A9700

Physician Fee Schedule (CY 2026, RVU26D)

Status E: excluded from the PFS by regulation.

Payer policies and prior authorization for A9700

1 of 2 payer prior-auth lists that name A9700 require prior authorization or set conditions: Molina Healthcare of Mississippi.

Payer	Plan	State	Prior auth	Conditions	Since	Source
Molina Healthcare of Mississippi	Medicaid	MS	prior auth required	State exception	Jan 1, 2025	Mississippi Medicaid Prior Auth (PA) Code Matrix and exceptions, effective Q1 2025

Medicaid fee-for-service

Prior authorization required or conditional in MS.

IN: $0.00 (professional, facility), effective Nov 10, 2017
KY: $0.00 (asc), effective Jan 1, 2026
OH: $78.75 (physician), effective Sep 1, 2005
TX: $238.68 (miscellaneous_other_professionals_portable_x_ray_radiologica, Miscellaneous Other Professionals - Portable X-Ray, Radiological Lab, Physiological Lab, non-facility), effective Jan 1, 2014
VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026
WY: $0.00 (outpatient_hospital_apc, Children's Hospitals), effective Apr 1, 2026

From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.

A9700 Echocardiography contrast