HCPCS code Q9960 — Hocm 200-249mg/ml iodine,1ml.
Status: Active.
Effective Jul 1, 2005.
Source: CMS HCPCS Level II.
Q9960
ActiveHocm 200-249mg/ml iodine,1ml
High osmolar contrast material, 200-249 mg/ml iodine concentration, per ml
Category:
Temporary
Section:
Q-codes: Temporary Codes
Effective:
Jul 1, 2005
Code type:
alphanumeric
OPPS Status:
N
— Items / services packaged into APC rates
MUE — Medically Unlikely Edits
Maximum units of Q9960 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.
| Service Type | Max Units / Day |
|---|---|
| Outpatient Hospital | 250 |
| Practitioner Services | 250 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NCCI Edits
The following codes cannot be billed together with Q9960 without appropriate documentation.
| Column 2 Code | Modifier |
|---|---|
| Q9951 | Modifier cannot bypass edit |
| Q9958 | Modifier may bypass edit |
| Q9959 | Modifier cannot bypass edit |
| Q9964 | Modifier cannot bypass edit |
| Q9965 | Modifier may bypass edit |
| Q9966 | Modifier may bypass edit |
| Q9967 | Modifier may bypass edit |
Source: CMS National Correct Coding Initiative (NCCI)
NCCI Edits — Reverse Direction
Q9960 cannot be billed together with the following column 1 codes without appropriate documentation.
| Column 1 Code | Modifier |
|---|---|
| Q9961 | Modifier may bypass edit |
| Q9962 | Modifier may bypass edit |
| Q9963 | Modifier may bypass edit |
Source: CMS National Correct Coding Initiative (NCCI)