HCPCS Code Q9967: Low Osmolar Contrast Material, 300–399 mg/mL Iodine Concentration, per mL

HCPCS Code Q9967: Low Osmolar Contrast Material, 300–399 mg/mL Iodine Concentration, per mL

Struggling with Q9967 denials? Learn proper documentation, modifiers, and OPPS bundling rules to bill low-osmolar iodinated contrast media correctly.

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Frequently asked questions

Q9967 is not a CPT code. It is a HCPCS Level II supply code used to report low-osmolar iodinated contrast material at 300–399 mg/mL, per mL, when provided with an imaging procedure. Submit Q9967 alongside the appropriate radiology CPT code for the exam.

Bill one unit for each milliliter administered. There is no universal hard cap, but payers expect medical necessity, appropriate pairing with the imaging CPT, and accurate documentation of volume. Under OPPS, Medicare often packages payment, yet reporting Q9967 remains recommended for rate-setting.

Pap testing uses cytopathology CPT codes that depend on method and screening versus diagnostic context, commonly 88142–88175. Many programs also recognize Q0091 for collection by a qualified practitioner when policy allows. Verify the state Medicaid manual to ensure correct code selection and reimbursement rules.

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