Ordering and Support

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How to Order

LUMASON® (sulfur hexafluoride lipid-type A microspheres) for injectable suspension, for intravenous use or intravesical use

All-Inclusive Portable Kit

Each kit contains:

  • One LUMASON vial of 25 mg lipid-type A white lyophilized
    powder with headspace fill of 60.7 mg of sulfur hexafluoride
  • One prefilled syringe containing 5mL of 0.9% Sodium Chloride
    Injection, USP (Diluent)
  • One Mini-Spike

Product LUMASON UEA
SKU 709916
NDC 0270-7099-16
Product Description KIT LUMASON 5x 25MG FLIPCAP
Product Configuration Five (5) Vial Kit
Novaplus® SKU 709700 NDC 0270-7099-73

20-Vial Pack

Each pack contains:

  • Twenty (20) LUMASON vials of 25 mg lipid-type A white lyophilized powder with headspace fill of 60.7 mg of sulfur hexafluoride
  • Twenty (20) Mini-Spikes
  • Twenty (20) peel-off syringe labels

Product LUMASON UEA
SKU 709707
NDC 0270–7097–07
Product Description MP LUMASON 20x 25MG VIAL/SPIKE US
Product Configuration Twenty (20) Vial Pack
Novaplus® SKU 709708 NDC 0270-7097-08

Available to purchase direct from Bracco Diagnostics Inc. and through authorized wholesale distributors.

Novaplus is a registered trademark of Vizient, Inc.

To order, call Bracco:
1-877-BRACCO-9
(1-877-272-2269)

or visit us online at:
MyOrders.Bracco.com

 

The individuals who appear are for illustrative purposes. All persons depicted are models and not real healthcare professionals.

Reimbursement Support Information

 Your one-stop resource for coding, reimbursement support, and education.

HCPCS Code

  • LUMASON ultrasound enhancing agent (UEA) should be coded under Q9950: Inj sulf hexa lipid microsph.

CMS Hospital Outpatient Prospective Payment System

  • Under HOPPS, reimbursement for LUMASON UEA is bundled in with the primary procedure and paid under the relevant Ambulatory Payment Classification.
  • Please continue to include Q9950 on your charge master to assist CMS with future rate setting.

Medicare Physician Fee Schedule

  • The MPFS is used in non-hospital sites including independent diagnostic testing facilities and physician offices.
  • Under MPFS, LUMASON UEA is separately reimbursable from the primary procedure. Reimbursement rates change on a quarterly basis and are included in the CMS ASP Pricing files.
  • Contrast agents are subject to the JW and JZ Modifiers under MPFS. Please use the JW Modifier to identify waste, and the JZ Modifier to indicate when there has been no waste.

Commercial Payors

  • Commercial payors' policies and contracts can vary greatly across the country. Please check your individual agreements to find out how reimbursement for LUMASON UEA may impact your site.

Download the LUMASON Reimbursement Kit

Visit the Bracco reimbursement site

Disclaimers

The information provided is general reimbursement information for Bracco products. It is not legal advice, nor is it advice about how to code, complete or submit any particular claim for payment. Although we supply this information based on our current knowledge, it is always the provider’s responsibility to determine and submit appropriate codes, charges, modifiers and bills for services that were rendered. This coding and reimbursement information is subject to change without notice. Payers or their local branches may have their own coding and reimbursement requirements and policies. Before filing any claims, providers should verify current requirements and policies with the payer.

CPT® copyright 2023 American Medical Association (AMA). All rights reserved. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

CPT is a registered trademark of the American Medical Association.

INDICATIONS AND USAGE | IMPORTANT SAFETY INFORMATION

WARNING: SERIOUS CARDIOPULMONARY REACTIONS
Serious cardiopulmonary reactions, including fatalities, have occurred uncommonly during or following the injection of ultrasound contrast agents, including sulfur hexafluoride lipid microspheres. Most serious reactions occur within 30 minutes of administration.

INDICATIONS AND USAGE | IMPORTANT SAFETY INFORMATION

LUMASON® (sulfur hexafluoride lipid-type A microspheres) for injectable suspension, for intravenous use or intravesical use

Indications

LUMASON® (sulfur hexafluoride lipid-type A microspheres) for injectable suspension, for intravenous use or intravesical use is an ultrasound contrast agent indicated for use:

  • in echocardiography to opacify the left ventricular chamber and to improve the delineation of the left ventricular endocardial border in adult and pediatric patients with suboptimal echocardiograms
  • in ultrasonography of the liver for characterization of focal liver lesions in adult and pediatric patients
  • in ultrasonography of the urinary tract for the evaluation of suspected or known vesicoureteral reflux in pediatric patients

 

IMPORTANT SAFETY INFORMATION

WARNING: SERIOUS CARDIOPULMONARY REACTIONS

Serious cardiopulmonary reactions, including fatalities, have occurred uncommonly during or following the injection of ultrasound contrast agents, including sulfur hexafluoride lipid microspheres. Most serious reactions occur within 30 minutes of administration.

  • Assess all patients for the presence of any condition that precludes administration
  • Always have resuscitation equipment and trained personnel readily available


Contraindications

LUMASON (sulfur hexafluoride lipid-type A microspheres) for injectable suspension, for intravenous use or intravesical use is contraindicated in patients with known or suspected hypersensitivity to sulfur hexafluoride lipid microsphere or its components, such as polyethylene glycol (PEG).

Warnings

Serious cardiopulmonary reactions, including fatalities, have occurred uncommonly during or shortly following administration of ultrasound contrast agents, including LUMASON. Always have cardiopulmonary resuscitation personnel and equipment readily available prior to LUMASON administration and monitor all patients for acute reactions.

Post-marketing hypersensitivity reactions, including serious hypersensitivity reactions, have been observed during use or shortly following LUMASON administration. These reactions may occur in patients with no history of prior exposure to sulfur hexafluoride lipid-containing microspheres. LUMASON contains PEG. There may be increased risk of serious reactions including death in patients with prior hypersensitivity reaction(s) to PEG.

Systemic embolization may occur in patients with cardiac shunts. Assess patients with cardiac shunts for embolic phenomena following LUMASON administration.

There is a risk of ventricular arrhythmia related to high mechanical index in patients administered LUMASON. LUMASON is not recommended for use at mechanical indices greater than 0.8.

The most common adverse reactions (incidence ≥ 0.5%) are headache (1%) and nausea (0.5%).

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.

Please click here for full Prescribing Information for LUMASON ultrasound contrast agent, including BOXED WARNING on Serious Cardiopulmonary Reactions.

LUMASON is manufactured for Bracco Diagnostics Inc., Monroe Township, NJ 08831 by Bracco Suisse S.A., Plan-les-Ouates Geneve, Switzerland (LUMASON lyophilized powder vial-25 mg lipid-type A/60.7 sulfur hexafluoride gas); Vetter Pharma-Fertigung GmbH & Co. KG, 88212 Ravensburg, Germany (Sodium Chloride 0.9% Injection, USP); B. Braun Melsungen AG, 34212 Melsungen, Germany (Mini-Spike).

LUMASON and SONOVUE are registered trademarks of Bracco Diagnostics Inc. and its affiliated entities.

All other trademarks and registered trademarks are the property of their respective owners.

IMPORTANT SAFETY INFORMATION | INDICATION AND USAGE
WARNING: SERIOUS CARDIOPULMONARY REACTIONS
Serious cardiopulmonary reactions, including fatalities, have occurred uncommonly during or following the injection of ultrasound contrast agents, including sulfur hexafluoride lipid microspheres. Most serious reactions occur within 30 minutes of administration.