HCPCS code Q9966 — Locm 200-299mg/ml iodine,1ml. Status: Active. Effective Jan 1, 2008. Source: CMS HCPCS Level II.

Q9966

Active

Locm 200-299mg/ml iodine,1ml

Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml

Category: Temporary
Section: Q-codes: Temporary Codes
Effective: Jan 1, 2008
Code type: alphanumeric
OPPS Status: N — Items / services packaged into APC rates

MUE — Medically Unlikely Edits

Maximum units of Q9966 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 Q9966 without appropriate documentation.

Column 2 Code Modifier
Q9951 Modifier cannot bypass edit
Q9959 Modifier cannot bypass edit
Q9964 Modifier cannot bypass edit
Q9965 Modifier may bypass edit

Source: CMS National Correct Coding Initiative (NCCI)

NCCI Edits — Reverse Direction

Q9966 cannot be billed together with the following column 1 codes without appropriate documentation.

Column 1 Code Modifier
Q9958 Modifier may bypass edit
Q9960 Modifier may bypass edit
Q9961 Modifier may bypass edit
Q9962 Modifier may bypass edit
Q9963 Modifier may bypass edit
Q9967 Modifier may bypass edit

Source: CMS National Correct Coding Initiative (NCCI)

NDC Crosswalk

National Drug Codes (NDCs) mapped to this HCPCS code.

NDC Drug Name
00270-1314-15 Isovue-200
00270-1317-02 Isovue-250
00270-1411-11 Isovue-M-200
00270-7250-10 Iomeron
00407-1412-10 Omnipaque 240
00407-1412-20 Omnipaque 240
00407-1412-30 Omnipaque 240
00407-1412-33 Omnipaque 240
00407-1412-34 Omnipaque 240
00407-1412-35 Omnipaque 240
00407-1412-38 Omnipaque 240
00407-2222-16 Visipaque 270
00407-2222-17 Visipaque 270
00407-2222-19 Visipaque 270
00407-2222-21 Visipaque 270
65219-0381-10 Iodixanol
65219-0381-50 Iodixanol
70436-0124-52 Iopamidol
70436-0124-82 Iopamidol
70436-0125-82 Iopamidol