In short

Q9963 is the HCPCS Level II code for high osmolar contrast material, 350-399 mg/ml iodine concentration, per ml. CMS assigns NDCs for Gastrografin and Md Gastroview to it. The Medicare Part B payment limit is $0.219 per unit (October 1, 2026 through December 31, 2026).

Code

CMS HCPCS file
HCPCS codeQ9963
Billing unitSee descriptor
Descriptor
High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml
Short descriptor
Hocm 350-399mg/ml iodine,1ml
Code set
HCPCS Level II, maintained by CMS
Effective
Jul 1, 2005

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

Units and claim line

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

Enter the units to build the claim line.

NDCs billed under Q9963

CMS’s ASP NDC–HCPCS crosswalk (effective October 1, 2026 through December 31, 2026) assigns 3 NDCs to Q9963 for Gastrografin and Md Gastroview. Billing units per package are CMS’s figures for this code’s unit.

NDCs assigned to Q9963 in the CMS ASP crosswalk
DrugNDC (11-digit)LabelerPackageBilling units per package
Gastrografin00270-0445-35Bracco Diagnostics Inc.24 × 30720
Gastrografin00270-0445-40Bracco Diagnostics Inc.12 × 1201,440
Md Gastroview00019-4816-04Liebel-Flarsheim Company LLC25 × 30750

Q9963: common questions

Is Q9963 a CPT code?
No. Q9963 is a HCPCS Level II code, maintained by CMS, that identifies the drug supplied. CPT codes are five-digit numbers from the AMA that describe services. Giving the drug, for example an injection or infusion, is usually reported with a separate CPT administration code. CPT codes for drug administration.
What NDCs are billed under Q9963?
CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 3 NDCs under Q9963, for Gastrografin and Md Gastroview. The table on this page shows each one with its billing units per package.
What is the Medicare payment limit for Q9963?
$0.219 per 1 ml, effective October 1, 2026 through December 31, 2026, from CMS's Part B drug payment limit file. Multiply by the units billed for the allowed amount before deductible and coinsurance. It is not a coverage decision.

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