HCPCS Code Details - Q9965

HCPCS Level II Code
Miscellaneous Services (Temporary Codes)
HCPCS Code Q9965
Description

Long description:
Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml

Short description:
Locm 100-199mg/ml iodine,1ml

HCPCS Modifier1
HCPCS Pricing indicator 51 - Drugs
Multiple pricing indicator A - Not applicable as HCPCS priced under one methodology
Coverage code D - Special coverage instructions apply
BETOS2 code I1E - Standard imaging - nuclear medicine
HCPCS Action code N - No maintenance for this code
Type of service 4 - Diagnostic radiology
Effective date Effective Jan 01, 2008
Date added Added Jan 01, 2008
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 - Q9965

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 0.794 - - - - - -
January 1, 2021 - March 31, 2021 1 ML 0.852 - - - - - -
October 1, 2020 - December 31, 2020 1 ML 0.718 - - - - - -
July 1, 2020 - September 30, 2020 1 ML 0.94 - - - - - -
April 1, 2020 - June 30, 2020 1 ML 0.865 - - - - - -

See also

  • HCPCS Q9964 · High osmolar contrast material, 400 or greater mg/ml iodine concentration, per ml

  • HCPCS Q9951 · Low osmolar contrast material, 400 or greater mg/ml iodine concentration, per ml

  • HCPCS Q9966 · Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml

  • HCPCS Q9967 · Low osmolar contrast material, 300-399 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”