HCPCS code Q9964 — Hocm>= 400mg/ml iodine, 1ml. Status: Active. Effective Jul 1, 2005. Source: CMS HCPCS Level II.

Q9964

Active

Hocm>= 400mg/ml iodine, 1ml

High osmolar contrast material, 400 or greater 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 Q9964 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 0
Practitioner Services 0

Source: CMS Medicare NCCI Medically Unlikely Edits

NCCI Edits — Reverse Direction

Q9964 cannot be billed together with the following column 1 codes without appropriate documentation.

Column 1 Code Modifier
Q9951 Modifier cannot bypass edit
Q9958 Modifier cannot bypass edit
Q9959 Modifier cannot bypass edit
Q9960 Modifier cannot bypass edit
Q9961 Modifier cannot bypass edit
Q9962 Modifier cannot bypass edit
Q9963 Modifier cannot bypass edit
Q9965 Modifier cannot bypass edit
Q9966 Modifier cannot bypass edit
Q9967 Modifier cannot bypass edit

Source: CMS National Correct Coding Initiative (NCCI)