How many Q9967 billing units are in a package of Optiray 350?

CMS lists 1,000 to 2,500 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.

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.

Optiray 350 HCPCS Code Q9967 — Billing Units & NDCs

In short

Optiray 350 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 8 Optiray 350 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: Liebel-Flarsheim Company LLC

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

Optiray 350 units and claim line

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

HCPCS units

Modifier

NDC (11-digit)

NDC unit qualifier

NDC quantity

Enter the units to build the claim line.

Optiray 350 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.

Optiray 350 NDCs in the CMS ASP crosswalk
NDC (11-digit)	HCPCS	Labeler	Package	Billing units per package
00019-1333-06	Q9967	Liebel-Flarsheim Company LLC	25 × 50	1250
00019-1333-11	Q9967	Liebel-Flarsheim Company LLC	12 × 100	1200
00019-1333-16	Q9967	Liebel-Flarsheim Company LLC	12 × 150	1800
00019-1333-21	Q9967	Liebel-Flarsheim Company LLC	12 × 200	2400
00019-1333-78	Q9967	Liebel-Flarsheim Company LLC	20 × 50	1000
00019-1333-87	Q9967	Liebel-Flarsheim Company LLC	20 × 125	2500
00019-1333-90	Q9967	Liebel-Flarsheim Company LLC	20 × 100	2000
00019-1333-95	Q9967	Liebel-Flarsheim Company LLC	20 × 75	1500

Optiray 350: common questions

What is the HCPCS code for Optiray 350?: Optiray 350 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 8 Optiray 350 NDCs under this code.
How many Q9967 billing units are in a package of Optiray 350?: CMS lists 1,000 to 2,500 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.

Optiray 350 HCPCS Code