In short

Q9965 is the HCPCS Level II code for low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml. CMS assigns NDCs for Omnipaque 140 and Omnipaque 180 to it. The Medicare Part B payment limit is $1.787 per unit (October 1, 2026 through December 31, 2026).

Code

CMS HCPCS file
HCPCS codeQ9965
Billing unitSee descriptor
Descriptor
Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml
Short descriptor
Locm 100-199mg/ml iodine,1ml
Code set
HCPCS Level II, maintained by CMS
Effective
Jan 1, 2008

Medicare Part B payment limit

CMS ASP file
Payment limit per unit$1.787
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 Q9965

CMS’s ASP NDC–HCPCS crosswalk (effective October 1, 2026 through December 31, 2026) assigns 3 NDCs to Q9965 for Omnipaque 140 and Omnipaque 180. Billing units per package are CMS’s figures for this code’s unit.

NDCs assigned to Q9965 in the CMS ASP crosswalk
DrugNDC (11-digit)LabelerPackageBilling units per package
Omnipaque 14000407-1401-52GE Healthcare Inc.10 × 50500
Omnipaque 18000407-1411-10GE Healthcare Inc.10 × 10100
Omnipaque 18000407-1411-20GE Healthcare Inc.10 × 20200

Q9965: common questions

Is Q9965 a CPT code?
No. Q9965 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 Q9965?
CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 3 NDCs under Q9965, for Omnipaque 140 and Omnipaque 180. The table on this page shows each one with its billing units per package.
What is the Medicare payment limit for Q9965?
$1.787 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.

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