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    HCPCS Details

    HCPC Q9966
    Short Description Locm 200-299mg/ml iodine,1ml
    Long Description Low osmolar contrast material, 200-299 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 2008-01-01
    Date Added 2008-01-01

    HCPCS/NDC Cross-Walk

    NDC HCPC Description Drug Name Labeler Name HCPCS Dosage PKG Size PKG QTY Bill Units Bill Units PKG
    00019132406 Q9966 Locm 200-299mg/ml iodine,1ml Optiray 240 LIEBEL FLARSHEIM 1 ML 50 25 50 1250
    00270131415 Q9966 Locm 200-299mg/ml iodine,1ml ISOVUE-200 BRACCO DIAGNOSTICS 1 ML 200 10 200 2000
    00270131430 Q9966 Locm 200-299mg/ml iodine,1ml ISOVUE-200 BRACCO DIAGNOSTICS 1 ML 50 10 50 500
    00270131702 Q9966 Locm 200-299mg/ml iodine,1ml Isovue-250 BRACCO DIAGNOSTICS 1 ML 100 10 100 1000
    00270131705 Q9966 Locm 200-299mg/ml iodine,1ml Isovue-250 BRACCO DIAGNOSTICS 1 ML 50 10 50 500
    00270141111 Q9966 Locm 200-299mg/ml iodine,1ml ISOVUE-M-200 BRACCO DIAGNOSTICS 1 ML 10 10 10 100
    00270141125 Q9966 Locm 200-299mg/ml iodine,1ml ISOVUE-M-200 BRACCO DIAGNOSTICS 1 ML 20 10 20 200
    00270725010 Q9966 Locm 200-299mg/ml iodine,1ml IOMERON Astrazeneca Pharmaceuticals, Lp 1 ML 100 56 100 5600
    00407141210 Q9966 Locm 200-299mg/ml iodine,1ml Omnipaque 240 GE HEALTHCARE 1 ML 10 10 10 100
    00407141220 Q9966 Locm 200-299mg/ml iodine,1ml Omnipaque 240 GE HEALTHCARE 1 ML 20 10 20 200
    00407141230 Q9966 Locm 200-299mg/ml iodine,1ml Omnipaque 240 GE HEALTHCARE 1 ML 50 10 50 500
    00407141233 Q9966 Locm 200-299mg/ml iodine,1ml Omnipaque 240 GE HEALTHCARE 1 ML 100 10 100 1000
    00407141234 Q9966 Locm 200-299mg/ml iodine,1ml Omnipaque 240 GE HEALTHCARE 1 ML 150 10 150 1500
    00407141235 Q9966 Locm 200-299mg/ml iodine,1ml Omnipaque 240 GE HEALTHCARE 1 ML 200 10 200 2000
    00407141238 Q9966 Locm 200-299mg/ml iodine,1ml Omnipaque 240 GE HEALTHCARE 1 ML 50 10 50 500
    00407222216 Q9966 Locm 200-299mg/ml iodine,1ml Visipaque 270 GE HEALTHCARE 1 ML 50 10 50 500
    00407222217 Q9966 Locm 200-299mg/ml iodine,1ml Visipaque 270 GE HEALTHCARE 1 ML 100 10 100 1000
    00407222219 Q9966 Locm 200-299mg/ml iodine,1ml Visipaque 270 GE HEALTHCARE 1 ML 150 10 150 1500
    00407222221 Q9966 Locm 200-299mg/ml iodine,1ml Visipaque 270 GE HEALTHCARE 1 ML 200 10 200 2000
    50419034210 Q9966 Locm 200-299mg/ml iodine,1ml Ultravist 240 BAYER HEALTHCARE PHARMACEUTICALS INC. 1 ML 100 10 100 1000
    50419034221 Q9966 Locm 200-299mg/ml iodine,1ml Ultravist 240 BAYER HEALTHCARE PHARMACEUTICALS INC. 1 ML 200 10 200 2000
    65219038110 Q9966 Locm 200-299mg/ml iodine,1ml IODIXANOL FRESENIUS KABI USA 1 ML 100 10 100 1000
    65219038150 Q9966 Locm 200-299mg/ml iodine,1ml IODIXANOL FRESENIUS KABI USA 1 ML 150 10 150 1500
    70436012452 Q9966 Locm 200-299mg/ml iodine,1ml IOPAMIDOL SLATE RUN PHARMACEUTICALS, LLC 1 ML 20 10 20 200
    70436012482 Q9966 Locm 200-299mg/ml iodine,1ml IOPAMIDOL SLATE RUN PHARMACEUTICALS, LLC 1 ML 10 10 10 100
    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