{"code":"Q9967","short_description":"Locm 300-399mg\/ml iodine,1ml","long_description":"Low osmolar contrast material, 300-399 mg\/ml iodine concentration, per ml","status":"active","section":"Q-codes: Temporary Codes","category":"Temporary","effective_date":"2008-01-01","termination_date":null,"replacement_code":"","opps_status_indicator":"N","opps_status_label":"Items \/ services packaged into APC rates","opps_apc":"","fee_schedules":[],"mue":[{"service_type":"practitioner","mue_value":300,"adjudication_indicator":"3","adjudication_description":"Date of Service Edit: Clinical","edit_rationale":"Prescribing Information"},{"service_type":"outpatient","mue_value":300,"adjudication_indicator":"3","adjudication_description":"Date of Service Edit: Clinical","edit_rationale":"Prescribing Information"}],"drug_classes":[],"ndc_crosswalk":[{"ndc":"00019-1323-06","drug_name":"Optiray 320","dosage":"1 ML","unit":"50","labeler_name":"Liebel-Flarsheim Company LLC"},{"ndc":"00019-1323-11","drug_name":"Optiray 320","dosage":"1 ML","unit":"100","labeler_name":"Liebel-Flarsheim Company LLC"},{"ndc":"00019-1323-16","drug_name":"Optiray 320","dosage":"1 ML","unit":"150","labeler_name":"Liebel-Flarsheim Company LLC"},{"ndc":"00019-1323-21","drug_name":"Optiray 320","dosage":"1 ML","unit":"200","labeler_name":"Liebel-Flarsheim Company LLC"},{"ndc":"00019-1323-52","drug_name":"Optiray 320","dosage":"1 ML","unit":"50","labeler_name":"Liebel-Flarsheim Company LLC"},{"ndc":"00019-1323-65","drug_name":"Ioversol Injection 678 MG\/ML","dosage":"1 ML","unit":"500","labeler_name":"Liebel-Flarsheim Company LLC"},{"ndc":"00019-1323-78","drug_name":"Optiray 320","dosage":"1 ML","unit":"50","labeler_name":"Liebel-Flarsheim Company LLC"},{"ndc":"00019-1323-87","drug_name":"Optiray 320","dosage":"1 ML","unit":"125","labeler_name":"Liebel-Flarsheim Company LLC"},{"ndc":"00019-1323-90","drug_name":"Optiray 320","dosage":"1 ML","unit":"100","labeler_name":"Liebel-Flarsheim Company LLC"},{"ndc":"00019-1323-95","drug_name":"Optiray 320","dosage":"1 ML","unit":"75","labeler_name":"Liebel-Flarsheim Company LLC"},{"ndc":"00019-1333-06","drug_name":"Optiray 350","dosage":"1 ML","unit":"50","labeler_name":"Liebel-Flarsheim Company LLC"},{"ndc":"00019-1333-11","drug_name":"Optiray 350","dosage":"1 ML","unit":"100","labeler_name":"Liebel-Flarsheim Company LLC"},{"ndc":"00019-1333-16","drug_name":"Optiray 350","dosage":"1 ML","unit":"150","labeler_name":"Liebel-Flarsheim Company LLC"},{"ndc":"00019-1333-21","drug_name":"Optiray 350","dosage":"1 ML","unit":"200","labeler_name":"Liebel-Flarsheim Company LLC"},{"ndc":"00019-1333-65","drug_name":"Ioversol Injection 741 MG\/ML","dosage":"1 ML","unit":"500","labeler_name":"Liebel-Flarsheim Company LLC"},{"ndc":"00019-1333-78","drug_name":"Optiray 350","dosage":"1 ML","unit":"50","labeler_name":"Liebel-Flarsheim Company LLC"},{"ndc":"00019-1333-87","drug_name":"Optiray 350","dosage":"1 ML","unit":"125","labeler_name":"Liebel-Flarsheim Company LLC"},{"ndc":"00019-1333-90","drug_name":"Optiray 350","dosage":"1 ML","unit":"100","labeler_name":"Liebel-Flarsheim Company LLC"},{"ndc":"00019-1333-95","drug_name":"Optiray 350","dosage":"1 ML","unit":"75","labeler_name":"Liebel-Flarsheim Company LLC"},{"ndc":"00270-1315-25","drug_name":"Isovue-300","dosage":"1 ML","unit":"30","labeler_name":"Bracco Diagnostics Inc."},{"ndc":"00270-1315-35","drug_name":"Isovue-300","dosage":"1 ML","unit":"100","labeler_name":"Bracco Diagnostics Inc."},{"ndc":"00270-1315-45","drug_name":"Isovue-300","dosage":"1 ML","unit":"200","labeler_name":"Bracco Diagnostics Inc."},{"ndc":"00270-1315-95","drug_name":"Isovue-300","dosage":"1 ML","unit":"500","labeler_name":"Bracco Diagnostics Inc."},{"ndc":"00270-1316-35","drug_name":"Isovue-370","dosage":"1 ML","unit":"100","labeler_name":"Bracco Diagnostics Inc."},{"ndc":"00270-1316-45","drug_name":"Isovue-370","dosage":"1 ML","unit":"200","labeler_name":"Bracco Diagnostics Inc."},{"ndc":"00270-1316-52","drug_name":"Isovue-370","dosage":"1 ML","unit":"75","labeler_name":"Bracco Diagnostics Inc."},{"ndc":"00270-1316-95","drug_name":"Isovue-370","dosage":"1 ML","unit":"500","labeler_name":"Bracco Diagnostics Inc."},{"ndc":"00270-1412-15","drug_name":"Isovue-M-300","dosage":"1 ML","unit":"15","labeler_name":"Bracco Diagnostics Inc."},{"ndc":"00270-7300-10","drug_name":"Iomeron","dosage":"1 ML","unit":"100","labeler_name":"Bracco Diagnostics Inc."},{"ndc":"00270-7300-20","drug_name":"Iomeron","dosage":"1 ML","unit":"200","labeler_name":"Bracco Diagnostics Inc."},{"ndc":"00407-1413-10","drug_name":"Omnipaque 300","dosage":"1 ML","unit":"10","labeler_name":"GE Healthcare Inc."},{"ndc":"00407-1413-48","drug_name":"Omnipaque 300 (Novaplus)","dosage":"1 ML","unit":"500","labeler_name":"GE Healthcare Inc."},{"ndc":"00407-1413-53","drug_name":"Omnipaque 300","dosage":"1 ML","unit":"125","labeler_name":"GE Healthcare Inc."},{"ndc":"00407-1413-59","drug_name":"Omnipaque 300","dosage":"1 ML","unit":"30","labeler_name":"GE Healthcare Inc."},{"ndc":"00407-1413-61","drug_name":"Omnipaque 300","dosage":"1 ML","unit":"50","labeler_name":"GE Healthcare Inc."},{"ndc":"00407-1413-62","drug_name":"Omnipaque 300","dosage":"1 ML","unit":"75","labeler_name":"GE Healthcare Inc."},{"ndc":"00407-1413-63","drug_name":"Omnipaque 300","dosage":"1 ML","unit":"100","labeler_name":"GE Healthcare Inc."},{"ndc":"00407-1413-65","drug_name":"Omnipaque 300","dosage":"1 ML","unit":"150","labeler_name":"GE Healthcare Inc."},{"ndc":"00407-1413-66","drug_name":"Omnipaque 300","dosage":"1 ML","unit":"200","labeler_name":"GE Healthcare Inc."},{"ndc":"00407-1413-68","drug_name":"Omnipaque 300","dosage":"1 ML","unit":"500","labeler_name":"GE Healthcare Inc."},{"ndc":"00407-1413-69","drug_name":"Omnipaque 300","dosage":"1 ML","unit":"125","labeler_name":"GE Healthcare Inc."},{"ndc":"00407-1413-72","drug_name":"Omnipaque 300","dosage":"1 ML","unit":"500","labeler_name":"GE Healthcare Inc."},{"ndc":"00407-1413-86","drug_name":"Omnipaque 300","dosage":"1 ML","unit":"50","labeler_name":"GE Healthcare Inc."},{"ndc":"00407-1413-87","drug_name":"Omnipaque 300","dosage":"1 ML","unit":"100","labeler_name":"GE Healthcare Inc."},{"ndc":"00407-1413-88","drug_name":"Omnipaque 300","dosage":"1 ML","unit":"150","labeler_name":"GE Healthcare Inc."},{"ndc":"00407-1413-89","drug_name":"Omnipaque 300","dosage":"1 ML","unit":"500","labeler_name":"GE Healthcare Inc."},{"ndc":"00407-1414-48","drug_name":"Omnipaque 350 (Novaplus)","dosage":"1 ML","unit":"500","labeler_name":"GE Healthcare Inc."},{"ndc":"00407-1414-72","drug_name":"Omnipaque 350","dosage":"1 ML","unit":"500","labeler_name":"GE Healthcare Inc."},{"ndc":"00407-1414-76","drug_name":"Omnipaque 350","dosage":"1 ML","unit":"125","labeler_name":"GE Healthcare Inc."},{"ndc":"00407-1414-82","drug_name":"Omnipaque 350","dosage":"1 ML","unit":"50","labeler_name":"GE Healthcare Inc."},{"ndc":"00407-1414-84","drug_name":"Omnipaque 350","dosage":"1 ML","unit":"100","labeler_name":"GE Healthcare Inc."},{"ndc":"00407-1414-85","drug_name":"Omnipaque 350","dosage":"1 ML","unit":"125","labeler_name":"GE Healthcare Inc."},{"ndc":"00407-1414-86","drug_name":"Omnipaque 350","dosage":"1 ML","unit":"150","labeler_name":"GE Healthcare Inc."},{"ndc":"00407-1414-87","drug_name":"Omnipaque 350","dosage":"1 ML","unit":"200","labeler_name":"GE Healthcare Inc."},{"ndc":"00407-1414-88","drug_name":"Omnipaque 350","dosage":"1 ML","unit":"500","labeler_name":"GE Healthcare Inc."},{"ndc":"00407-1414-89","drug_name":"Omnipaque 350","dosage":"1 ML","unit":"50","labeler_name":"GE Healthcare Inc."},{"ndc":"00407-1414-90","drug_name":"Omnipaque 350","dosage":"1 ML","unit":"75","labeler_name":"GE Healthcare Inc."},{"ndc":"00407-1414-91","drug_name":"Omnipaque 350","dosage":"1 ML","unit":"100","labeler_name":"GE Healthcare Inc."},{"ndc":"00407-1414-93","drug_name":"Omnipaque 350","dosage":"1 ML","unit":"150","labeler_name":"GE Healthcare Inc."},{"ndc":"00407-1414-94","drug_name":"Omnipaque 350","dosage":"1 ML","unit":"200","labeler_name":"GE Healthcare Inc."},{"ndc":"00407-1414-95","drug_name":"Omnipaque 350","dosage":"1 ML","unit":"125","labeler_name":"GE Healthcare Inc."},{"ndc":"00407-1414-98","drug_name":"Omnipaque 350","dosage":"1 ML","unit":"500","labeler_name":"GE Healthcare Inc."},{"ndc":"00407-2223-16","drug_name":"Visipaque 320","dosage":"1 ML","unit":"50","labeler_name":"GE Healthcare Inc."},{"ndc":"00407-2223-17","drug_name":"Visipaque 320","dosage":"1 ML","unit":"100","labeler_name":"GE Healthcare Inc."},{"ndc":"00407-2223-19","drug_name":"Visipaque 320","dosage":"1 ML","unit":"150","labeler_name":"GE Healthcare Inc."},{"ndc":"00407-2223-21","drug_name":"Visipaque 320","dosage":"1 ML","unit":"200","labeler_name":"GE Healthcare Inc."},{"ndc":"00407-2223-23","drug_name":"Visipaque 320","dosage":"1 ML","unit":"500","labeler_name":"GE Healthcare Inc."},{"ndc":"00407-2223-62","drug_name":"Visipaque 320","dosage":"1 ML","unit":"50","labeler_name":"GE Healthcare Inc."},{"ndc":"00407-2223-64","drug_name":"Visipaque 320","dosage":"1 ML","unit":"100","labeler_name":"GE Healthcare Inc."},{"ndc":"00407-2223-66","drug_name":"Visipaque 320","dosage":"1 ML","unit":"150","labeler_name":"GE Healthcare Inc."},{"ndc":"00407-2223-67","drug_name":"Visipaque 320","dosage":"1 ML","unit":"200","labeler_name":"GE Healthcare Inc."},{"ndc":"50419-0344-05","drug_name":"Ultravist 300","dosage":"1 ML","unit":"50","labeler_name":"Bayer HealthCare Pharmaceuticals Inc."},{"ndc":"50419-0344-10","drug_name":"Ultravist 300","dosage":"1 ML","unit":"100","labeler_name":"Bayer HealthCare Pharmaceuticals Inc."},{"ndc":"50419-0344-12","drug_name":"Ultravist 300","dosage":"1 ML","unit":"125","labeler_name":"Bayer HealthCare Pharmaceuticals Inc."},{"ndc":"50419-0344-15","drug_name":"Ultravist 300","dosage":"1 ML","unit":"150","labeler_name":"Bayer HealthCare Pharmaceuticals Inc."},{"ndc":"50419-0344-21","drug_name":"Ultravist 300","dosage":"1 ML","unit":"200","labeler_name":"Bayer HealthCare Pharmaceuticals Inc."},{"ndc":"50419-0344-58","drug_name":"Ultravist 300","dosage":"1 ML","unit":"500","labeler_name":"Bayer HealthCare Pharmaceuticals Inc."},{"ndc":"50419-0346-05","drug_name":"Ultravist 370","dosage":"1 ML","unit":"50","labeler_name":"Bayer HealthCare Pharmaceuticals Inc."},{"ndc":"50419-0346-10","drug_name":"Ultravist 370","dosage":"1 ML","unit":"100","labeler_name":"Bayer HealthCare Pharmaceuticals Inc."},{"ndc":"50419-0346-15","drug_name":"Ultravist 370","dosage":"1 ML","unit":"150","labeler_name":"Bayer HealthCare Pharmaceuticals Inc."},{"ndc":"50419-0346-20","drug_name":"Ultravist 370","dosage":"1 ML","unit":"200","labeler_name":"Bayer HealthCare Pharmaceuticals Inc."},{"ndc":"50419-0346-25","drug_name":"Ultravist 370","dosage":"1 ML","unit":"250","labeler_name":"Bayer HealthCare Pharmaceuticals Inc."},{"ndc":"50419-0346-58","drug_name":"Ultravist 370","dosage":"1 ML","unit":"500","labeler_name":"Bayer HealthCare Pharmaceuticals Inc."},{"ndc":"50419-0346-65","drug_name":"Ultravist 370","dosage":"1 ML","unit":"500","labeler_name":"Bayer HealthCare Pharmaceuticals Inc."},{"ndc":"65219-0383-05","drug_name":"Iodixanol","dosage":"1 ML","unit":"50","labeler_name":"FreseniUS Kabi USA, LLC"},{"ndc":"65219-0383-10","drug_name":"Iodixanol","dosage":"1 ML","unit":"100","labeler_name":"FreseniUS Kabi USA, LLC"},{"ndc":"65219-0383-50","drug_name":"Iodixanol","dosage":"1 ML","unit":"150","labeler_name":"FreseniUS Kabi USA, LLC"},{"ndc":"65219-0383-70","drug_name":"Iodixanol","dosage":"1 ML","unit":"200","labeler_name":"FreseniUS Kabi USA, LLC"},{"ndc":"70436-0126-82","drug_name":"Iodixanol","dosage":"1 ML","unit":"15","labeler_name":"Slate Run Pharmaceuticals"},{"ndc":"70436-0127-82","drug_name":"Iopamidol","dosage":"1 ML","unit":"100","labeler_name":"Slate Run Pharmaceuticals"},{"ndc":"70436-0219-52","drug_name":"Iopamidol","dosage":"1 ML","unit":"30","labeler_name":"Slate Run Pharmaceuticals"},{"ndc":"70436-0219-62","drug_name":"Iopamidol","dosage":"1 ML","unit":"50","labeler_name":"Slate Run Pharmaceuticals"},{"ndc":"70436-0219-82","drug_name":"Iopamidol","dosage":"1 ML","unit":"100","labeler_name":"Slate Run Pharmaceuticals"}],"utilization":[],"urls":{"self_html":"https:\/\/hcpcslookup.com\/codes\/q9967","self_json":"https:\/\/hcpcslookup.com\/api\/codes\/Q9967.json"}}