Search by Drug Name, NDC or Jcode

    Internal Navigation

    HCPCS Details

    HCPC Q9958
    Short Description Hocm <=149 mg/ml iodine, 1ml
    Long Description High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml
    Pricing indicator 51
    Coverage code D
    ASC payment group code
    BETOS2 code I1E
    Action code N
    Type of service 4
    Effective date 2005-07-01
    Date Added 2005-07-01

    HCPCS/NDC Cross-Walk

    NDC HCPC Description Drug Name Labeler Name HCPCS Dosage PKG Size PKG QTY Bill Units Bill Units PKG
    00019086250 Q9958 Hocm <=149 mg/ml iodine, 1ml Cysto-Conray Ii LIEBEL FLARSHEIM 1 ML 250 12 250 3000
    00270014957 Q9958 Hocm <=149 mg/ml iodine, 1ml Cystografin BRACCO DIAGNOSTICS 1 ML 300 10 300 3000
    00270014960 Q9958 Hocm <=149 mg/ml iodine, 1ml Cystografin BRACCO DIAGNOSTICS 1 ML 100 10 100 1000
    00270141030 Q9958 Hocm <=149 mg/ml iodine, 1ml Cystografin-Dilute BRACCO DIAGNOSTICS 1 ML 300 10 300 3000
    The ASP crosswalks are maintained by the Division of Data Analysis and Market Based Pricing to support ASP-based Medicare Part B payments only. The crosswalks are intended to help the public (including entities that submit manufacturer ASP data and providers who bill for drugs) understand which drug products (identified by NDCs) are assigned to which HCPCS billing codes. The crosswalks are not intended to be a comprehensive list of all drugs/NDCs available in the United States. The NDC to HCPCS Crosswalk also includes information on the NDC package size and the number of billable units (as defined by the HCPCS code descriptor). Comments on the file may be sent to [email protected].

    HCPCS Billing Calculator

    Dosage given to patient (per dose)
    HCPCS Dosage 1 ML
    HCPCS/CPT Billing Units 1
    Total doses ordered
    Billing Units 1