HCPCS code Q9967 — Locm 300-399mg/ml iodine,1ml.
Status: Active.
Effective Jan 1, 2008.
Source: CMS HCPCS Level II.
Q9967
ActiveLocm 300-399mg/ml iodine,1ml
Low osmolar contrast material, 300-399 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 Q9967 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 | 300 |
| Practitioner Services | 300 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NCCI Edits
The following codes cannot be billed together with Q9967 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 |
| Q9966 | Modifier may bypass edit |
Source: CMS National Correct Coding Initiative (NCCI)
NCCI Edits — Reverse Direction
Q9967 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 |
Source: CMS National Correct Coding Initiative (NCCI)
NDC Crosswalk
National Drug Codes (NDCs) mapped to this HCPCS code.
| NDC | Drug Name |
|---|---|
| 00019-1323-06 | Optiray 320 |
| 00019-1323-11 | Optiray 320 |
| 00019-1323-16 | Optiray 320 |
| 00019-1323-21 | Optiray 320 |
| 00019-1323-52 | Optiray 320 |
| 00019-1323-65 | Ioversol Injection 678 MG/ML |
| 00019-1323-78 | Optiray 320 |
| 00019-1323-87 | Optiray 320 |
| 00019-1323-90 | Optiray 320 |
| 00019-1323-95 | Optiray 320 |
| 00019-1333-06 | Optiray 350 |
| 00019-1333-11 | Optiray 350 |
| 00019-1333-16 | Optiray 350 |
| 00019-1333-21 | Optiray 350 |
| 00019-1333-65 | Ioversol Injection 741 MG/ML |
| 00019-1333-78 | Optiray 350 |
| 00019-1333-87 | Optiray 350 |
| 00019-1333-90 | Optiray 350 |
| 00019-1333-95 | Optiray 350 |
| 00270-1315-25 | Isovue-300 |