In short

Ultravist 370 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 Ultravist 370 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
Bayer HealthCare Pharmaceuticals 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

Ultravist 370 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.

Ultravist 370 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.

Ultravist 370 NDCs in the CMS ASP crosswalk
NDC (11-digit)HCPCSLabelerPackageBilling units per package
50419-0346-05Q9967Bayer HealthCare Pharmaceuticals Inc.10 × 50500
50419-0346-10Q9967Bayer HealthCare Pharmaceuticals Inc.10 × 1001000
50419-0346-15Q9967Bayer HealthCare Pharmaceuticals Inc.10 × 1501500
50419-0346-20Q9967Bayer HealthCare Pharmaceuticals Inc.10 × 2002000
50419-0346-25Q9967Bayer HealthCare Pharmaceuticals Inc.10 × 2502500
50419-0346-28Q9967Bayer HealthCare Pharmaceuticals Inc.10 × 2002000
50419-0346-58Q9967Bayer HealthCare Pharmaceuticals Inc.8 × 5004000
50419-0346-65Q9967Bayer HealthCare Pharmaceuticals Inc.8 × 5004000

Ultravist 370: common questions

What is the HCPCS code for Ultravist 370?
Ultravist 370 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 Ultravist 370 NDCs under this code.
How many Q9967 billing units are in a package of Ultravist 370?
CMS lists 500 to 4,000 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.

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