In short

Q9967 is the HCPCS Level II code for low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml. CMS assigns NDCs for Iodixanol, Iomeron, Iopamidol and Ioversol Injection 678 MG/ML and 13 more to it. The Medicare Part B payment limit is $0.186 per unit (October 1, 2026 through December 31, 2026).

Code

CMS HCPCS file
HCPCS codeQ9967
Billing unitSee descriptor
Descriptor
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml
Short descriptor
Locm 300-399mg/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$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

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 Q9967

CMS’s ASP NDC–HCPCS crosswalk (effective October 1, 2026 through December 31, 2026) assigns 95 NDCs to Q9967 for Iodixanol, Iomeron, Iopamidol, Ioversol Injection 678 MG/ML, Ioversol Injection 741 MG/ML, Isovue-300, Isovue-370, Isovue-M-300, Omnipaque 300, Omnipaque 300 (Novaplus), Omnipaque 350, Omnipaque 350 (Novaplus), Optiray 320, Optiray 350, Ultravist 300, Ultravist 370 and Visipaque 320. Billing units per package are CMS’s figures for this code’s unit.

NDCs assigned to Q9967 in the CMS ASP crosswalk
DrugNDC (11-digit)LabelerPackageBilling units per package
Iodixanol65219-0383-05FreseniUS Kabi USA, LLC10 × 50500
Iodixanol65219-0383-10FreseniUS Kabi USA, LLC10 × 1001,000
Iodixanol65219-0383-50FreseniUS Kabi USA, LLC10 × 1501,500
Iodixanol65219-0383-70FreseniUS Kabi USA, LLC10 × 2002,000
Iodixanol70436-0126-82Slate Run Pharmaceuticals10 × 15150
Iomeron00270-7300-10Bracco Diagnostics Inc.56 × 1005,600
Iomeron00270-7300-20Bracco Diagnostics Inc.10 × 2002,000
Iopamidol70436-0127-82Slate Run Pharmaceuticals10 × 1001,000
Iopamidol70436-0219-52Slate Run Pharmaceuticals10 × 30300
Iopamidol70436-0219-62Slate Run Pharmaceuticals10 × 50500
Iopamidol70436-0219-82Slate Run Pharmaceuticals10 × 1001,000
Ioversol Injection 678 MG/ML00019-1323-65Liebel-Flarsheim Company LLC6 × 5003,000
Ioversol Injection 741 MG/ML00019-1333-65Liebel-Flarsheim Company LLC6 × 5003,000
Isovue-30000270-1315-25Bracco Diagnostics Inc.10 × 30300
Isovue-30000270-1315-35Bracco Diagnostics Inc.10 × 1001,000
Isovue-30000270-1315-45Bracco Diagnostics Inc.10 × 2002,000
Isovue-30000270-1315-95Bracco Diagnostics Inc.6 × 5003,000
Isovue-37000270-1316-35Bracco Diagnostics Inc.10 × 1001,000
Isovue-37000270-1316-45Bracco Diagnostics Inc.10 × 2002,000
Isovue-37000270-1316-95Bracco Diagnostics Inc.6 × 5003,000
Isovue-M-30000270-1412-15Bracco Diagnostics Inc.10 × 15150
Omnipaque 30000407-1413-10GE Healthcare Inc.10 × 10100
Omnipaque 30000407-1413-53GE Healthcare Inc.10 × 1251,250
Omnipaque 30000407-1413-59GE Healthcare Inc.10 × 30300
Omnipaque 30000407-1413-61GE Healthcare Inc.10 × 50500
Omnipaque 30000407-1413-62GE Healthcare Inc.10 × 75750
Omnipaque 30000407-1413-63GE Healthcare Inc.10 × 1001,000
Omnipaque 30000407-1413-65GE Healthcare Inc.10 × 1501,500
Omnipaque 30000407-1413-66GE Healthcare Inc.10 × 2002,000
Omnipaque 30000407-1413-68GE Healthcare Inc.10 × 5005,000
Omnipaque 30000407-1413-69GE Healthcare Inc.10 × 1251,250
Omnipaque 30000407-1413-72GE Healthcare Inc.10 × 5005,000
Omnipaque 30000407-1413-86GE Healthcare Inc.10 × 50500
Omnipaque 30000407-1413-87GE Healthcare Inc.10 × 1001,000
Omnipaque 30000407-1413-88GE Healthcare Inc.10 × 1501,500
Omnipaque 30000407-1413-89GE Healthcare Inc.10 × 5005,000
Omnipaque 300 (Novaplus)00407-1413-48GE Healthcare Inc.10 × 5005,000
Omnipaque 35000407-1414-72GE Healthcare Inc.10 × 5005,000
Omnipaque 35000407-1414-76GE Healthcare Inc.10 × 1251,250
Omnipaque 35000407-1414-82GE Healthcare Inc.10 × 50500
Omnipaque 35000407-1414-84GE Healthcare Inc.10 × 1001,000
Omnipaque 35000407-1414-85GE Healthcare Inc.10 × 1251,250
Omnipaque 35000407-1414-86GE Healthcare Inc.10 × 1501,500
Omnipaque 35000407-1414-87GE Healthcare Inc.10 × 2002,000
Omnipaque 35000407-1414-88GE Healthcare Inc.10 × 5005,000
Omnipaque 35000407-1414-89GE Healthcare Inc.10 × 50500
Omnipaque 35000407-1414-90GE Healthcare Inc.10 × 75750
Omnipaque 35000407-1414-91GE Healthcare Inc.10 × 1001,000
Omnipaque 35000407-1414-93GE Healthcare Inc.10 × 1501,500
Omnipaque 35000407-1414-94GE Healthcare Inc.10 × 2002,000
Omnipaque 35000407-1414-95GE Healthcare Inc.10 × 1251,250
Omnipaque 35000407-1414-98GE Healthcare Inc.10 × 5005,000
Omnipaque 350 (Novaplus)00407-1414-48GE Healthcare Inc.10 × 5005,000
Optiray 32000019-1323-06Liebel-Flarsheim Company LLC25 × 501,250
Optiray 32000019-1323-11Liebel-Flarsheim Company LLC12 × 1001,200
Optiray 32000019-1323-16Liebel-Flarsheim Company LLC12 × 1501,800
Optiray 32000019-1323-21Liebel-Flarsheim Company LLC12 × 2002,400
Optiray 32000019-1323-52Liebel-Flarsheim Company LLC20 × 501,000
Optiray 32000019-1323-78Liebel-Flarsheim Company LLC20 × 501,000
Optiray 32000019-1323-87Liebel-Flarsheim Company LLC20 × 1252,500

Showing 60 of 95. The full list is in the CMS crosswalk file.

Q9967: common questions

Is Q9967 a CPT code?
No. Q9967 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 Q9967?
CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 95 NDCs under Q9967, for Iodixanol, Iomeron, Iopamidol, Ioversol Injection 678 MG/ML, Ioversol Injection 741 MG/ML and Isovue-300 and 11 more. The table on this page shows each one with its billing units per package.
What is the Medicare payment limit for Q9967?
$0.186 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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