In short

Gastrografin is billed under HCPCS Q9963 — High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml. One billing unit is 1 ml. CMS's crosswalk lists 2 Gastrografin NDCs under this code.

Q9963 code details

Reference

Q9963
High osmolar contrast material, 350-399 mg/ml iodine concentration, per mlBilling unit: 1 ml
Labelers
Bracco Diagnostics Inc.

Medicare Part B payment limit

CMS ASP file
Payment limit per unit$0.219
Per1 ml
Coinsurance20%

Effective October 1, 2026 through December 31, 2026. Payment allowance limits subject to the ASP methodology are based on 2Q26 ASP data. A payment limit is not a coverage decision; the Medicare contractor decides coverage. CMS ASP pricing files

Gastrografin units and claim line

Enter the dose given to get the Q9963 units and the NDC line for the CMS-1500 and the 837P.

Enter the units to build the claim line.

Gastrografin NDCs and billing units

From CMS’s ASP NDC–HCPCS crosswalk, effective October 1, 2026 through December 31, 2026. Billing units per package are CMS’s figures for the code’s unit.

Gastrografin NDCs in the CMS ASP crosswalk
NDC (11-digit)HCPCSLabelerPackageBilling units per package
00270-0445-35Q9963Bracco Diagnostics Inc.24 × 30720
00270-0445-40Q9963Bracco Diagnostics Inc.12 × 1201440

Gastrografin: common questions

What is the HCPCS code for Gastrografin?
Gastrografin is billed under HCPCS Q9963 — High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml. One billing unit is 1 ml. CMS's crosswalk lists 2 Gastrografin NDCs under this code.
How many Q9963 billing units are in a package of Gastrografin?
CMS lists 720 to 1,440 billing units per package, depending on the NDC, where one unit is 1 ml. Units to report are based on the dose given, not the package.
Is Q9963 a CPT code?
No. Q9963 is a HCPCS Level II code from CMS for the drug itself. Giving it, for example by injection or infusion, is usually reported with a separate CPT administration code.

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