Home › NDC Lookup › J-codes › Q9967
Q9967

Q9967 – Low osmolar contrast material, 300-399 mg/ml iodine concentration, per m · NDC Crosswalk & Billing Units

HCPCS Level II Q-code · Medicare Part B drug billing
Q-code ● 96 NDCs crosswalked per 1 ML $0.155/unit ASP+6%

This page is curated, coded, and maintained by

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

📋 Q9967 summary

Q9967 is a HCPCS Level II Q-code used to bill Low osmolar contrast material, 300-399 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 Q9967: Iodixanol(Q9967)*, Optiray, Isovue

Code Q9967 Billing unit 1 ML Payment limit $0.155/unit NDC-Crosswalk 96 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 codeQ9967
DescriptorLow osmolar contrast material, 300-399 mg/ml iodine concentration, per ml
Billing unit1 ML
Payment limit / unit$0.155
Est. ASP / unit$0.146 est.
Mapped NDCs96
Data periodQ3 2026
Last updated2026-09-20

💊 About Iopamidol DRUG GUIDE

Iopamidol is a radiographic contrast agent — a dye given before certain scans to help doctors see blood vessels, organs, and other structures more clearly.

Depending on the product and route, it is used for a wide range of imaging procedures including CT scans of the head and body, arteriography (imaging of arteries), cardiac and coronary imaging, urography (kidney and urinary tract imaging), and venography (vein imaging).Isovue-M and iopamidol injection for intrathecal use are specifically approved for myelography — imaging of the spine and spinal canal — including CT myelography of the lumbar, thoracic, and cervical spine in adults, and lumbar and thoracic myelography in children aged 2 and older.

Isovue (intravascular/intravenous formulations) and Iopamidol Injection, USP are for intra-arterial and intravenous use only and must never be given intrathecally (into the spinal canal).

Read the full Iopamidol drug guide →
Clinical overview from our editorial drug guide for Iopamidol. For billing reference, see the sections above.

🧾 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
$0.155
Est. ASP / unit
$0.146 est.
Est. after 2% sequester
$0.152
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 descriptionLow osmolar contrast material, 300-399 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 date2008-01-01
Date added2008-01-01
Source: CMS HCPCS Level II code file (imported via admin).

🧮 Dosing & billing-units calculator HCPCS UNITS

One billing unit of Q9967 = 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 Q9967 WITH EST. MEDICARE PAY

96 NDCs map to Q9967. Bill units = how many HCPCS units one package represents. Est. pay / pkg = payment limit ($0.155/unit) × that package's bill units.
NDC (11-digit)DrugLabelerPackageStrength Bill units Est. pay / pkg NADAC / unit StatusSource
00019-1323-06 Optiray 320 Ioversol 678 mg/mL INJECTION Liebel-Flarsheim 25 BOTTLE, GLASS in 1 CARTON (0019-1323-06... 678 mg/mL 1,250 $193.75 — ● Active CMS ASP
00019-1323-11 Optiray 320 Ioversol 678 mg/mL INJECTION Liebel-Flarsheim 12 BOTTLE, GLASS in 1 CARTON (0019-1323-11... 678 mg/mL 1,200 $186.00 — ● Active CMS ASP
00019-1323-16 Optiray 320 Ioversol 678 mg/mL INJECTION Liebel-Flarsheim 12 BOTTLE, GLASS in 1 CARTON (0019-1323-16... 678 mg/mL 1,800 $279.00 — ● Active CMS ASP
00019-1323-21 Optiray 320 Ioversol 678 mg/mL INJECTION Liebel-Flarsheim 12 BOTTLE, GLASS in 1 CARTON (0019-1323-21... 678 mg/mL 2,400 $372.00 — ● Active CMS ASP
00019-1323-52 Optiray 320 Ioversol 678 mg/mL INJECTION Liebel-Flarsheim 20 SYRINGE, PLASTIC in 1 CARTON (0019-1323... 678 mg/mL 1,000 $155.00 — ● Active CMS ASP
00019-1323-65 Optiray 320 Ioversol 678 mg/mL INJECTION Liebel-Flarsheim 6 BOTTLE, GLASS in 1 CARTON (0019-1323-65)... 678 mg/mL 3,000 $465.00 — ● Active CMS ASP
00019-1323-78 Optiray 320 Ioversol 678 mg/mL INJECTION Liebel-Flarsheim 20 SYRINGE, PLASTIC in 1 CARTON (0019-1323... 678 mg/mL 1,000 $155.00 — ● Active CMS ASP
00019-1323-87 Optiray 320 Ioversol 678 mg/mL INJECTION Liebel-Flarsheim 20 SYRINGE, PLASTIC in 1 CARTON (0019-1323... 678 mg/mL 2,500 $387.50 — ● Active CMS ASP
00019-1323-90 Optiray 320 Ioversol 678 mg/mL INJECTION Liebel-Flarsheim 20 SYRINGE, PLASTIC in 1 CARTON (0019-1323... 678 mg/mL 2,000 $310.00 — ● Active CMS ASP
00019-1323-95 Optiray 320 Ioversol 678 mg/mL INJECTION Liebel-Flarsheim 20 SYRINGE, PLASTIC in 1 CARTON (0019-1323... 678 mg/mL 1,500 $232.50 — ● Active CMS ASP
00019-1333-06 Optiray 350 Ioversol 741 mg/mL INJECTION Liebel-Flarsheim 25 BOTTLE, GLASS in 1 CARTON (0019-1333-06... 741 mg/mL 1,250 $193.75 — ● Active CMS ASP
00019-1333-11 Optiray 350 Ioversol 741 mg/mL INJECTION Liebel-Flarsheim 12 BOTTLE, GLASS in 1 CARTON (0019-1333-11... 741 mg/mL 1,200 $186.00 — ● Active CMS ASP
00019-1333-16 Optiray 350 Ioversol 741 mg/mL INJECTION Liebel-Flarsheim 12 BOTTLE, GLASS in 1 CARTON (0019-1333-16... 741 mg/mL 1,800 $279.00 — ● Active CMS ASP
00019-1333-21 Optiray 350 Ioversol 741 mg/mL INJECTION Liebel-Flarsheim 12 BOTTLE, GLASS in 1 CARTON (0019-1333-21... 741 mg/mL 2,400 $372.00 — ● Active CMS ASP
00019-1333-65 Optiray 350 Ioversol 741 mg/mL INJECTION Liebel-Flarsheim 6 BOTTLE, GLASS in 1 CARTON (0019-1333-65)... 741 mg/mL 3,000 $465.00 — ● Active CMS ASP
00019-1333-78 Optiray 350 Ioversol 741 mg/mL INJECTION Liebel-Flarsheim 20 SYRINGE, PLASTIC in 1 CARTON (0019-1333... 741 mg/mL 1,000 $155.00 — ● Active CMS ASP
00019-1333-87 Optiray 350 Ioversol 741 mg/mL INJECTION Liebel-Flarsheim 20 SYRINGE, PLASTIC in 1 CARTON (0019-1333... 741 mg/mL 2,500 $387.50 — ● Active CMS ASP
00019-1333-90 Optiray 350 Ioversol 741 mg/mL INJECTION Liebel-Flarsheim 20 SYRINGE, PLASTIC in 1 CARTON (0019-1333... 741 mg/mL 2,000 $310.00 — ● Active CMS ASP
00019-1333-95 Optiray 350 Ioversol 741 mg/mL INJECTION Liebel-Flarsheim 20 SYRINGE, PLASTIC in 1 CARTON (0019-1333... 741 mg/mL 1,500 $232.50 — ● Active CMS ASP
00270-1315-25 ISOVUE 300 IOPAMIDOL 612 mg/mL INJECTION, SOLUTION Bracco 10 VIAL, SINGLE-DOSE in 1 BOX (0270-1315-2... 612 mg/mL 300 $46.50 — ● Active CMS ASP
00270-1315-35 ISOVUE 300 IOPAMIDOL 612 mg/mL INJECTION, SOLUTION Bracco 10 BOTTLE in 1 BOX (0270-1315-35) / 100 m... 612 mg/mL 1,000 $155.00 — ● Active CMS ASP
00270-1315-45 ISOVUE 300 IOPAMIDOL 612 mg/mL INJECTION, SOLUTION Bracco 10 BOTTLE in 1 BOX (0270-1315-45) / 200 m... 612 mg/mL 2,000 $310.00 — ● Active CMS ASP
00270-1315-95 ISOVUE 300 IOPAMIDOL 612 mg/mL INJECTION, SOLUTION Bracco 6 BOTTLE in 1 BOX (0270-1315-95) / 500 mL... 612 mg/mL 3,000 $465.00 — ● Active CMS ASP
00270-1316-35 ISOVUE 370 IOPAMIDOL 755 mg/mL INJECTION, SOLUTION BRACCO 10 BOTTLE in 1 BOX (0270-1316-35) / 100 m... 755 mg/mL 1,000 $155.00 — ● Active CMS ASP
00270-1316-45 ISOVUE 370 IOPAMIDOL 755 mg/mL INJECTION, SOLUTION BRACCO 10 BOTTLE in 1 BOX (0270-1316-45) / 200 m... 755 mg/mL 2,000 $310.00 — ● Active CMS ASP
00270-1316-52 Isovue-370 Bracco — — 750 $116.25 — — CMS ASP
00270-1316-95 ISOVUE 370 IOPAMIDOL 755 mg/mL INJECTION, SOLUTION BRACCO 6 BOTTLE in 1 BOX (0270-1316-95) / 500 mL... 755 mg/mL 3,000 $465.00 — ● Active CMS ASP
00270-1412-15 ISOVUE-M IOPAMIDOL 612 mg/mL INJECTION, SOLUTION Bracco 10 VIAL, SINGLE-DOSE in 1 PACKAGE (0270-14... 612 mg/mL 150 $23.25 — ● Active CMS ASP
00270-7300-10 Iomeron Iomeprol Injection 612 mg/mL INJECTION, SOLUTION BRACCO 56 BOTTLE, GLASS in 1 BOX (0270-7300-10)... 612 mg/mL 5,600 $868.00 — ● Active CMS ASP
00270-7300-20 Iomeron Iomeprol Injection 612 mg/mL INJECTION, SOLUTION BRACCO 10 BOTTLE, GLASS in 1 BOX (0270-7300-20)... 612 mg/mL 2,000 $310.00 — ● Active CMS ASP
00407-1413-10 OMNIPAQUE Iohexol 300 mg/mL INJECTION, SOLUTION GE 10 VIAL, GLASS in 1 BOX (0407-1413-10) /... 300 mg/mL 100 $15.50 — ● Active CMS ASP
00407-1413-48 Omnipaque 300 (Novaplus) GE — — 5,000 $775.00 — — CMS ASP
00407-1413-53 OMNIPAQUE Iohexol 300 mg/mL INJECTION, SOLUTION GE 10 BOTTLE, GLASS in 1 BOX (0407-1413-53)... 300 mg/mL 1,250 $193.75 — ● Active CMS ASP
00407-1413-59 OMNIPAQUE Iohexol 300 mg/mL INJECTION, SOLUTION GE 10 BOTTLE, PLASTIC in 1 BOX (0407-1413-59)... 300 mg/mL 300 $46.50 — ● Active CMS ASP
00407-1413-61 OMNIPAQUE Iohexol 300 mg/mL INJECTION, SOLUTION GE 10 BOTTLE, PLASTIC in 1 BOX (0407-1413-61)... 300 mg/mL 500 $77.50 — ● Active CMS ASP
00407-1413-62 Omnipaque 300 GE — — 750 $116.25 — — CMS ASP
00407-1413-63 OMNIPAQUE Iohexol 300 mg/mL INJECTION, SOLUTION GE 10 BOTTLE, PLASTIC in 1 BOX (0407-1413-63)... 300 mg/mL 1,000 $155.00 — ● Active CMS ASP
00407-1413-65 OMNIPAQUE Iohexol 300 mg/mL INJECTION, SOLUTION GE 10 BOTTLE, PLASTIC in 1 BOX (0407-1413-65)... 300 mg/mL 1,500 $232.50 — ● Active CMS ASP
00407-1413-66 Omnipaque 300 GE — — 2,000 $310.00 — — CMS ASP
00407-1413-68 Omnipaque 300 GE — — 5,000 $775.00 — — CMS ASP
00407-1413-69 Omnipaque 300 GE — — 1,250 $193.75 — — CMS ASP
00407-1413-72 OMNIPAQUE Iohexol 300 mg/mL INJECTION, SOLUTION GE 10 BOTTLE, PLASTIC in 1 BOX (0407-1413-72)... 300 mg/mL 5,000 $775.00 — ● Active CMS ASP
00407-1413-86 Omnipaque 300 GE — — 500 $77.50 — — CMS ASP
00407-1413-87 Omnipaque 300 GE — — 1,000 $155.00 — — CMS ASP
00407-1413-88 Omnipaque 300 GE — — 1,500 $232.50 — — CMS ASP
00407-1413-89 Omnipaque 300 GE — — 5,000 $775.00 — — CMS ASP
00407-1414-48 Omnipaque 350 (Novaplus) GE — — 5,000 $775.00 — — CMS ASP
00407-1414-72 Omnipaque Iohexol 350 mg/mL INJECTION, SOLUTION GE 10 BOTTLE, PLASTIC in 1 BOX (0407-1414-72)... 350 mg/mL 5,000 $775.00 — ● Active CMS ASP
00407-1414-76 Omnipaque Iohexol 350 mg/mL INJECTION, SOLUTION GE 10 BOTTLE, GLASS in 1 BOX (0407-1414-76)... 350 mg/mL 1,250 $193.75 — ● Active CMS ASP
00407-1414-82 Omnipaque 350 GE — — 500 $77.50 — — CMS ASP
00407-1414-84 Omnipaque 350 GE — — 1,000 $155.00 — — CMS ASP
00407-1414-85 Omnipaque 350 GE — — 1,250 $193.75 — — CMS ASP
00407-1414-86 Omnipaque 350 GE — — 1,500 $232.50 — — CMS ASP
00407-1414-87 Omnipaque 350 GE — — 2,000 $310.00 — — CMS ASP
00407-1414-88 Omnipaque 350 GE — — 5,000 $775.00 — — CMS ASP
00407-1414-89 Omnipaque Iohexol 350 mg/mL INJECTION, SOLUTION GE 10 BOTTLE, PLASTIC in 1 BOX (0407-1414-89)... 350 mg/mL 500 $77.50 — ● Active CMS ASP
00407-1414-90 Omnipaque Iohexol 350 mg/mL INJECTION, SOLUTION GE 10 BOTTLE, PLASTIC in 1 BOX (0407-1414-90)... 350 mg/mL 750 $116.25 — ● Active CMS ASP
00407-1414-91 Omnipaque Iohexol 350 mg/mL INJECTION, SOLUTION GE 10 BOTTLE, PLASTIC in 1 BOX (0407-1414-91)... 350 mg/mL 1,000 $155.00 — ● Active CMS ASP
00407-1414-93 Omnipaque Iohexol 350 mg/mL INJECTION, SOLUTION GE 10 BOTTLE, PLASTIC in 1 BOX (0407-1414-93)... 350 mg/mL 1,500 $232.50 — ● Active CMS ASP
00407-1414-94 Omnipaque Iohexol 350 mg/mL INJECTION, SOLUTION GE 10 BOTTLE, PLASTIC in 1 BOX (0407-1414-94)... 350 mg/mL 2,000 $310.00 — ● Active CMS ASP
00407-1414-95 Omnipaque 350 GE — — 1,250 $193.75 — — CMS ASP
00407-1414-98 Omnipaque 350 GE — — 5,000 $775.00 — — CMS ASP
00407-2223-16 Visipaque Iodixanol 320 mg/mL INJECTION, SOLUTION GE 10 BOTTLE, PLASTIC in 1 BOX (0407-2223-16)... 320 mg/mL 500 $77.50 — ● Active CMS ASP
00407-2223-17 Visipaque Iodixanol 320 mg/mL INJECTION, SOLUTION GE 10 BOTTLE, PLASTIC in 1 BOX (0407-2223-17)... 320 mg/mL 1,000 $155.00 — ● Active CMS ASP
00407-2223-19 Visipaque Iodixanol 320 mg/mL INJECTION, SOLUTION GE 10 BOTTLE, PLASTIC in 1 BOX (0407-2223-19)... 320 mg/mL 1,500 $232.50 — ● Active CMS ASP
00407-2223-21 Visipaque Iodixanol 320 mg/mL INJECTION, SOLUTION GE 10 BOTTLE, PLASTIC in 1 BOX (0407-2223-21)... 320 mg/mL 2,000 $310.00 — ● Active CMS ASP
00407-2223-23 Visipaque Iodixanol 320 mg/mL INJECTION, SOLUTION GE 10 BOTTLE, PLASTIC in 1 BOX (0407-2223-23)... 320 mg/mL 5,000 $775.00 — ● Active CMS ASP
00407-2223-62 Visipaque 320 GE — — 500 $77.50 — — CMS ASP
00407-2223-64 Visipaque 320 GE — — 1,000 $155.00 — — CMS ASP
00407-2223-66 Visipaque 320 GE — — 1,500 $232.50 — — CMS ASP
00407-2223-67 Visipaque 320 GE — — 2,000 $310.00 — — CMS ASP
50419-0344-05 Ultravist iopromide 300 mg/mL INJECTION Bayer 10 VIAL, GLASS in 1 CARTON (50419-344-05)... 300 mg/mL 500 $77.50 — ● Active CMS ASP
50419-0344-10 Ultravist iopromide 300 mg/mL INJECTION Bayer 10 VIAL, GLASS in 1 CARTON (50419-344-10)... 300 mg/mL 1,000 $155.00 — ● Active CMS ASP
50419-0344-12 Ultravist iopromide 300 mg/mL INJECTION Bayer 10 VIAL, GLASS in 1 CARTON (50419-344-12)... 300 mg/mL 1,250 $193.75 — ● Active CMS ASP
50419-0344-15 Ultravist iopromide 300 mg/mL INJECTION Bayer 10 VIAL, GLASS in 1 CARTON (50419-344-15)... 300 mg/mL 1,500 $232.50 — ● Active CMS ASP
50419-0344-21 Ultravist iopromide 300 mg/mL INJECTION Bayer 10 BOTTLE in 1 PACKAGE (50419-344-21) / 2... 300 mg/mL 2,000 $310.00 — ● Active CMS ASP
50419-0344-23 Ultravist iopromide 300 mg/mL INJECTION Bayer 10 BOTTLE in 1 PACKAGE (50419-344-23) / 2... 300 mg/mL 2,000 $310.00 — ● Active CMS ASP
50419-0344-58 Ultravist iopromide 300 mg/mL INJECTION Bayer 8 BOTTLE in 1 PACKAGE (50419-344-58) / 50... 300 mg/mL 4,000 $620.00 — ● Active CMS ASP
50419-0344-65 Ultravist iopromide 300 mg/mL INJECTION Bayer 8 BOTTLE in 1 PACKAGE (50419-344-65) / 50... 300 mg/mL 4,000 $620.00 — ● Active CMS ASP
50419-0346-05 Ultravist iopromide 370 mg/mL INJECTION Bayer 10 VIAL, GLASS in 1 CARTON (50419-346-05)... 370 mg/mL 500 $77.50 — ● Active CMS ASP
50419-0346-10 Ultravist iopromide 370 mg/mL INJECTION Bayer 10 VIAL, GLASS in 1 CARTON (50419-346-10)... 370 mg/mL 1,000 $155.00 — ● Active CMS ASP
50419-0346-15 Ultravist iopromide 370 mg/mL INJECTION Bayer 10 VIAL, GLASS in 1 CARTON (50419-346-15)... 370 mg/mL 1,500 $232.50 — ● Active CMS ASP
50419-0346-20 Ultravist iopromide 370 mg/mL INJECTION Bayer 10 VIAL, GLASS in 1 CARTON (50419-346-20)... 370 mg/mL 2,000 $310.00 — ● Active CMS ASP
50419-0346-25 Ultravist 370 Bayer — — 2,500 $387.50 — — CMS ASP
50419-0346-28 Ultravist iopromide 370 mg/mL INJECTION Bayer 10 BOTTLE in 1 PACKAGE (50419-346-28) / 2... 370 mg/mL 2,000 $310.00 — ● Active CMS ASP
50419-0346-58 Ultravist iopromide 370 mg/mL INJECTION Bayer 8 BOTTLE in 1 PACKAGE (50419-346-58) / 50... 370 mg/mL 4,000 $620.00 — ● Active CMS ASP
50419-0346-65 Ultravist iopromide 370 mg/mL INJECTION Bayer 8 BOTTLE in 1 PACKAGE (50419-346-65) / 50... 370 mg/mL 4,000 $620.00 — ● Active CMS ASP
65219-0383-05 Iodixanol 320 mg/mL INJECTION, SOLUTION FRESENIUS 10 BOTTLE, PLASTIC in 1 BOX (65219-383-05)... 320 mg/mL 500 $77.50 — ● Active CMS ASP
65219-0383-10 Iodixanol 320 mg/mL INJECTION, SOLUTION FRESENIUS 10 BOTTLE, PLASTIC in 1 BOX (65219-383-10)... 320 mg/mL 1,000 $155.00 — ● Active CMS ASP
65219-0383-50 Iodixanol 320 mg/mL INJECTION, SOLUTION FRESENIUS 10 BOTTLE, PLASTIC in 1 BOX (65219-383-50)... 320 mg/mL 1,500 $232.50 — ● Active CMS ASP
65219-0383-70 Iodixanol 320 mg/mL INJECTION, SOLUTION FRESENIUS 10 BOTTLE, PLASTIC in 1 BOX (65219-383-70)... 320 mg/mL 2,000 $310.00 — ● Active CMS ASP
70436-0126-82 iopamidol 612 mg/mL INJECTION, SOLUTION Slate 150 mL in 1 CARTON (70436-126-82) 612 mg/mL 150 $23.25 — ● Active CMS ASP
70436-0127-82 iopamidol 755 mg/mL INJECTION, SOLUTION Slate 10 VIAL, SINGLE-DOSE in 1 CARTON (70436-12... 755 mg/mL 1,000 $155.00 — ● Active CMS ASP
70436-0219-52 iopamidol 612 mg/mL INJECTION, SOLUTION Slate 10 VIAL, SINGLE-DOSE in 1 CARTON (70436-21... 612 mg/mL 300 $46.50 — ● Active CMS ASP
70436-0219-62 iopamidol 612 mg/mL INJECTION, SOLUTION Slate 10 VIAL, SINGLE-DOSE in 1 CARTON (70436-21... 612 mg/mL 500 $77.50 — ● Active CMS ASP
70436-0219-82 iopamidol 612 mg/mL INJECTION, SOLUTION Slate 10 VIAL, SINGLE-DOSE in 1 CARTON (70436-21... 612 mg/mL 1,000 $155.00 — ● 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
$3.58M
Claims
289,727
Beneficiaries
268,067
Spend / beneficiary
$13.37
Spend / claim
$12.37
Trend by period
Where Q9967 ranks among Part B drugs · 2026 (Q1) · neighbors ±5
Total spending — #268 of 824
#263 RIABNI Q5123 $3.85M #264 FORMOTEROL FUMARATE* J7606 $3.83M #265 FOCINVEZ J1434 $3.77M #266 APRETUDE J0739 $3.76M #267 ELOCTATE J7205 $3.72M #268 IODIXANOL(Q9967)* Q9967 $3.58M #269 BACLOFEN(J0475)* J0475 $3.51M #270 ALBUKED-25(P9047)* P9047 $3.5M #271 ACTIVASE* J2997 $3.49M #272 BETAMETHASONE SOD PH... J0702 $3.47M #273 LUPRON DEPOT-PED* J1950 $3.45M
Total claims — #7 of 824
#2 DEXAMETHASONE SODIUM... J1100 455,323 #3 KETOROLAC TROMETHAMI... J1885 440,857 #4 DEPO-MEDROL* J1010 417,801 #5 CYANOCOBALAMIN INJEC... J3420 343,052 #6 FLUZONE HIGH-DOSE * 90662 321,400 #7 IODIXANOL(Q9967)* Q9967 289,727 #8 PROLIA* J0897 260,340 #9 COMIRNATY * 91320 259,929 #10 VABYSMO J2777 242,296 #11 PREVNAR 20 90677 225,730 #12 BETAMETHASONE SOD PH... J0702 216,212

Full breakdown by period (2)
PeriodTotal spendBeneficiariesClaims$/beneficiary$/claim
2026 (Q1) $3.58M 268,067 289,727 $13.37 $12.37
2025 (Q1-Q4) $14.83M 937,533 1,239,944 $15.82 $11.96
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
$14.95M
Medicare paid
$11.35M
Submitted services
107,430,880
Denial rate
5.4%
Allowed / service
$0.15
Submitted charges
$188.22M
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 Q9967 is utilized CMS · BY PROVIDER · 2024

Medicare Part B services for this code by the rendering provider's state — 95,202,153 services across 56 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 2026-09-20
NDC ↔ HCPCS crosswalk
CMS ASP NDC-HCPCS crosswalk
96 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.

❓ Q9967 billing FAQ

What is HCPCS code Q9967?
Q9967 is a HCPCS Level II Q-code used to bill Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml under Medicare Part B and most medical (not pharmacy) benefits.
What is the billing unit for Q9967?
One unit of Q9967 represents 1 ML. Report the number of units equal to the dose administered divided by 1 ML.
How many units of Q9967 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 Q9967?
The Medicare Part B payment limit is $0.155 per unit (Q3 2026), based on ASP + 6%. After the 2% sequester the effective payment is about $0.152 per unit. Payment limits are revised quarterly.
Which NDCs bill under Q9967?
96 NDCs currently map to Q9967 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 Q9967 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.