In short

Omnipaque 300 is billed under HCPCS Q9967 — Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml. One billing unit is 1 ml. CMS's crosswalk lists 15 Omnipaque 300 NDCs under this code.

Q9967 code details

Reference

Q9967
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per mlBilling unit: 1 ml
Labelers
GE Healthcare Inc.

Medicare Part B payment limit

CMS ASP file
Payment limit per unit$0.186
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

Omnipaque 300 units and claim line

Enter the dose given to get the Q9967 units and the NDC line for the CMS-1500 and the 837P.

Enter the units to build the claim line.

Omnipaque 300 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.

Omnipaque 300 NDCs in the CMS ASP crosswalk
NDC (11-digit)HCPCSLabelerPackageBilling units per package
00407-1413-10Q9967GE Healthcare Inc.10 × 10100
00407-1413-53Q9967GE Healthcare Inc.10 × 1251250
00407-1413-59Q9967GE Healthcare Inc.10 × 30300
00407-1413-61Q9967GE Healthcare Inc.10 × 50500
00407-1413-62Q9967GE Healthcare Inc.10 × 75750
00407-1413-63Q9967GE Healthcare Inc.10 × 1001000
00407-1413-65Q9967GE Healthcare Inc.10 × 1501500
00407-1413-66Q9967GE Healthcare Inc.10 × 2002000
00407-1413-68Q9967GE Healthcare Inc.10 × 5005000
00407-1413-69Q9967GE Healthcare Inc.10 × 1251250
00407-1413-72Q9967GE Healthcare Inc.10 × 5005000
00407-1413-86Q9967GE Healthcare Inc.10 × 50500
00407-1413-87Q9967GE Healthcare Inc.10 × 1001000
00407-1413-88Q9967GE Healthcare Inc.10 × 1501500
00407-1413-89Q9967GE Healthcare Inc.10 × 5005000

Omnipaque 300: common questions

What is the HCPCS code for Omnipaque 300?
Omnipaque 300 is billed under HCPCS Q9967 — Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml. One billing unit is 1 ml. CMS's crosswalk lists 15 Omnipaque 300 NDCs under this code.
How many Q9967 billing units are in a package of Omnipaque 300?
CMS lists 100 to 5,000 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 Q9967 a CPT code?
No. Q9967 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.

Related

Free account

Keep searching with a free account

You’ve used your 3 free searches for this session. Log in or create a free Med-Code account to keep looking up NDCs, J-codes and drugs.

Create a free accountLog in