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The cap is a cross-code aggregate covering 62320-62327 and 64479-64484 combined, not a per-code limit, and other MACs publish similar but distinct policies for their jurisdictions

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Magnetic Resonance Imaging With Inhaled Hyperpolarized Xenon-129 Contrast Agent (APC 1551) HCPCS code C9791 (Magnetic resonance imaging with inhaled hyperpolarized xenon-129 contrast agent, chest, including preparation and administration of agent) was established on October 1, 2023