HCPCS Code Details - Q9957

HCPCS Level II Code
Miscellaneous Services (Temporary Codes)
HCPCS Code Q9957
Description

Long description:
Injection, perflutren lipid microspheres, per ml

Short description:
Inj perflutren lip micros,ml

HCPCS Modifier1
HCPCS Pricing indicator 57 - Other carrier priced
Multiple pricing indicator A - Not applicable as HCPCS priced under one methodology
Coverage code C - Carrier judgment
BETOS2 code I1F - Standard imaging - other
HCPCS Action code N - No maintenance for this code
Type of service 4 - Diagnostic radiology
Effective date Effective Apr 01, 2005
Date added Added Apr 01, 2005
HCPCS Coding Procedures

HCPCS Modifiers

In HCPCS Level II, modifiers are composed of two alpha or alphanumeric characters.

Example: E0260-NU - Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress
NU” identifies the hospital bed as new equipment

ASP Drug pricing - Q9957

Effective Code Dosage Payment
Limit
Vaccine AWP % Vaccine Limit Infusion AWP % DME infusion limit Blood AWP % Blood limit Clotting factor Note
April 1, 2021 - June 30, 2021 1 ML 47.294 - - - - - -
January 1, 2021 - March 31, 2021 1 ML 47.065 - - - - - -
October 1, 2020 - December 31, 2020 1 ML 47.627 - - - - - -
July 1, 2020 - September 30, 2020 1 ML 48.206 - - - - - -
April 1, 2020 - June 30, 2020 1 ML 48.55 - - - - - -

See also

  • HCPCS Q9956 · Injection, octafluoropropane microspheres, per ml

  • HCPCS Q9958 · High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml


1 Two-digit numeric codes are Level I code modifiers copyrighted© by the American Medical Association's Current Procedural Terminology (CPT).

2 BETOS stands for “Berenson-Eggers Type Of Service”