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Q9963

Q9963 – High osmolar contrast material, 350-399 mg/ml iodine concentration, per · NDC Crosswalk & Billing Units

HCPCS Level II Q-code · Medicare Part B drug billing
Q-code ● 3 NDCs crosswalked per 1 ML $0.214/unit ASP+6%

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Compiled from public FDA, CMS, DailyMed, NADAC, and related drug data sources. Editorial policy

📋 Q9963 summary

Q9963 is a HCPCS Level II Q-code used to bill High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml, billed per 1 ML. The number of billing units to report depends on the dose administered and the NDC/package billed — use the calculator below.

Brand names associated with Q9963: Gastrografin*, Md Gastroview, Gastrografin

Code Q9963 Billing unit 1 ML Payment limit $0.214/unit NDC-Crosswalk 3 Quarter Q3 2026 RxCUI Atlas Trace the drug concept →

⚠ An NDC↔HCPCS crosswalk and a published payment limit do not guarantee payer coverage or payment. Always verify the current payer policy and claim format before billing.

🗂️ Key billing facts

HCPCS codeQ9963
DescriptorHigh osmolar contrast material, 350-399 mg/ml iodine concentration, per ml
Billing unit1 ML
Payment limit / unit$0.214
Est. ASP / unit$0.202 est.
Mapped NDCs3
Data periodQ3 2026
Last updated2026-08-20

🧾 Billing & reimbursement HCPCS · CMS · EFF. Q3 2026

📅 Payment limits effective Q3 2026 — from the CMS Medicare Part B Payment Limit File (revised quarterly).
Medicare payment limit / unit
$0.214
Est. ASP / unit
$0.202 est.
Est. after 2% sequester
$0.210
HCPCS dosage
1 ML
The CMS payment limit is the Medicare Part B drug allowance (ASP + 6%, statutory). After the 2% federal sequester the effective payment is ≈ ASP + 4.3%; estimated ASP = payment limit ÷ 1.06. Source: CMS Medicare Part B Payment Limit File (quarterly), Q3 2026.
Full HCPCS code details (official CMS record)
Long descriptionHigh osmolar contrast material, 350-399 mg/ml iodine concentration, per ml
CoverageD — Special coverage instructions apply
Pricing indicator51 — Drug — priced under the ASP methodology
Type of service4
BETOS-2I1E
ASC payment group—
Action codeN — No maintenance this year
Effective date2005-07-01
Date added2005-07-01
Source: CMS HCPCS Level II code file (imported via admin).

🧮 Dosing & billing-units calculator HCPCS UNITS

One billing unit of Q9963 = 1 ml. Enter a regimen to convert dose → billing units and project a full course.
Billing units = dose ÷ HCPCS unit size. Most payers require whole units — round per the payer's policy. “Est. Medicare pay” uses the current payment limit. For single-dose vials, drug discarded after administration may be separately billable with modifier JW (JZ when none is discarded) where allowed. Always verify payer-specific rounding before billing.

🔁 NDCs that bill under Q9963 WITH EST. MEDICARE PAY

3 NDCs map to Q9963. Bill units = how many HCPCS units one package represents. Est. pay / pkg = payment limit ($0.214/unit) × that package's bill units.
NDC (11-digit)DrugLabelerPackageStrength Bill units Est. pay / pkg NADAC / unit StatusSource
00019-4816-04 MD GASTROVIEW diatrizoate meglumine and diatrizoate sodium 600 mg/mL; 100 mg/mL SOLUTION Liebel-Flarsheim 25 BOTTLE, GLASS in 1 BOX (0019-4816-04)... 600 mg/mL; 100 mg/mL 750 $160.50 — ● Active CMS ASP
00270-0445-35 Gastrografin diatrizoate meglumine and diatrizoate sodium 660 mg/mL; 100 mg/mL LIQUID Bracco 24 BOTTLE in 1 BOX (0270-0445-35) / 30 mL... 660 mg/mL; 100 mg/mL 720 $154.08 — ● Active CMS ASP
00270-0445-40 Gastrografin diatrizoate meglumine and diatrizoate sodium 660 mg/mL; 100 mg/mL LIQUID Bracco 12 BOTTLE in 1 BOX (0270-0445-40) / 120 m... 660 mg/mL; 100 mg/mL 1,440 $308.16 — ● Active CMS ASP
NDC→HCPCS mappings come from the CMS ASP NDC-HCPCS crosswalk; additional DME MAC / DMEPOS mappings come from PDAC and are labeled separately. NADAC from CMS (weekly). “Status” reflects the product's marketing / obsolete flag in the NDC directory. Presence or absence here does not determine Medicare coverage. Linked NDCs open the full product page.

📊 Medicare utilization & spend CMS · PART B · 2026 (Q1)

Period
Total Part B spend
$1.1K
Claims
159
Beneficiaries
156
Spend / beneficiary
$7.36
Spend / claim
$7.22
Trend by period
Where Q9963 ranks among Part B drugs · 2026 (Q1) · neighbors ±5
Total spending — #764 of 824
#759 DOXY 100* J1271 $1.3K #760 CYTARABINE J9100 $1.2K #761 POSACONAZOLE J1837 $1.2K #762 BUMETANIDE J1939 $1.2K #763 CEFOXITIN SODIUM* J0694 $1.2K #764 GASTROGRAFIN* Q9963 $1.1K #765 VANCOMYCIN HCL(J3374... J3374 $1.1K #766 METHOCARBAMOL* J2800 $1.1K #767 TYZAVAN* J3375 $1.1K #768 PENICILLIN G POTASSI... J2540 $1.1K #769 STREPTOMYCIN SULFATE J3000 $1.1K
Total claims — #578 of 824
#573 YEZTUGO(J0752) J0752 165 #574 NITROGLYCERIN IN D5W... J2305 164 #575 PRIALT J2278 163 #576 AXOLOTL DUALGRAFT, P... Q4332 161 #577 BRIXADI(J0578) J0578 160 #578 GASTROGRAFIN* Q9963 159 #579 ONPATTRO J0222 157 #580 VONVENDI J7179 157 #581 CARVYKTI Q2056 156 #582 GANCICLOVIR SODIUM J1570 154 #583 ADRENALIN(J0165)* J0165 152

Full breakdown by period (2)
PeriodTotal spendBeneficiariesClaims$/beneficiary$/claim
2026 (Q1) $1.1K 156 159 $7.36 $7.22
2025 (Q1-Q4) $7.2K 901 1,001 $7.99 $7.19
Provider-administered (Part B) spend, calculated for the whole HCPCS code (CMS does not publish Medicare spend per individual NDC). Self-administered use is covered under Part D instead. A blank patient count means fewer than 11 people — CMS hides counts that small to protect privacy. Source: CMS Medicare Quarterly Part B Spending by Drug (data.cms.gov), updated quarterly.

📈 Medicare Part B claims detail CMS PSPS · 2024

Calendar-year 2024 Medicare Part B fee-for-service activity for this HCPCS code, summed across all carriers, localities and specialties (CMS Physician/Supplier Procedure Summary). A “service” is one billed line/unit — not one claim — so counts run higher than claim counts.
Allowed charges
$5.1K
Medicare paid
$4K
Submitted services
34,787
Denial rate
32.3%
Allowed / service
$0.22
Submitted charges
$89.1K
Source: CMS Physician/Supplier Procedure Summary (PSPS), CY2024 — Medicare Part B carrier + DME fee-for-service claims (excludes Medicare Advantage). Figures are for the whole HCPCS code, which may cover uses beyond this drug. ⚠ CMS hides any figure covering fewer than 11 patients (a privacy rule), so totals — especially denials and low-volume codes — run a little low.

🗺️ Where Q9963 is utilized CMS · BY PROVIDER · 2024

Medicare Part B services for this code by the rendering provider's state — 4,561 services across 6 states & territories in 2024 (CMS reports include DC and U.S. territories). Switch to per 100k to compare states fairly regardless of population. Hover or tap a state for its top ZIP codes.
Hover or tap a state to see its numbers + top ZIP codes.
Per-capita = services ÷ 2023 state population × 100,000 (so high-population states aren't automatically "hotter"). Counts reflect the provider's location, not the patient's. Providers with fewer than 11 patients are hidden by CMS for privacy, so totals run low and per-100k can be noisy in small states — read this as relative geography, not exact counts. Source: CMS Medicare Physician & Other Practitioners — by Provider and Service, 2024.

🗃️ Data sources & freshness

Every figure on this page is computed from public datasets. Here's what each section draws on and how current it is.
HCPCS code & descriptor
CMS HCPCS Level II code file
Loaded
Payment limit & billing unit
CMS Medicare Part B ASP Pricing File (quarterly)
Q3 2026 · as of 2026-08-20
NDC ↔ HCPCS crosswalk
CMS ASP NDC-HCPCS crosswalk
3 NDCs mapped
NADAC acquisition cost
CMS National Average Drug Acquisition Cost (weekly)
Not available for mapped NDCs
Utilization & spend
CMS Part B Spending by Drug · PSPS · Physician & Other Practitioners
Latest data year 2026
Figures are estimates for reference and may lag the source files. Always verify against the current CMS files and your payer's policy before submitting claims.

⚠️ Practical billing caveats

  • A crosswalk is not coverage. An NDC mapping or a published payment limit does not guarantee a payer will cover or pay this code. Check the specific plan's policy.
  • Units ≠ milligrams. Bill the number of HCPCS units (dose ÷ the code's unit size), not the milligram dose. Use the calculator above.
  • Discarded drug. For single-dose vials, drug discarded after administration may be separately billable with modifier JW (and JZ when nothing is discarded) where the payer allows.
  • Rounding & partial units. Many payers require whole units; round per the payer's policy, not automatically up.
  • The code can cover more than this drug. Some HCPCS codes span multiple products or strengths — confirm the exact code for the product administered.
  • Figures lag. ASP limits change quarterly and utilization data are released with a delay. Verify against the current CMS files before billing.

❓ Q9963 billing FAQ

What is HCPCS code Q9963?
Q9963 is a HCPCS Level II Q-code used to bill High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml under Medicare Part B and most medical (not pharmacy) benefits.
What is the billing unit for Q9963?
One unit of Q9963 represents 1 ML. Report the number of units equal to the dose administered divided by 1 ML.
How many units of Q9963 should I bill?
Divide the dose administered by the code's unit size (1 ML) to get the number of billing units, then round per your payer's policy. The calculator on this page converts a dose into billing units and projects a full course.
How much does Medicare pay for Q9963?
The Medicare Part B payment limit is $0.214 per unit (Q3 2026), based on ASP + 6%. After the 2% sequester the effective payment is about $0.210 per unit. Payment limits are revised quarterly.
Which NDCs bill under Q9963?
3 NDCs currently map to Q9963 in the CMS ASP NDC-HCPCS crosswalk. See the NDC crosswalk table above for each product, package, billing units and estimated reimbursement.
Does a crosswalk mean Q9963 is covered?
No. An NDC-to-HCPCS crosswalk and a published payment limit do not guarantee coverage or payment. Coverage depends on the payer, the diagnosis and the site of care — always verify the current policy before billing.
For professional billing reference only — verify against the current CMS files before submitting claims.