Browse HCPCS Level II 2020 Edition

HCPCS Level II Table of Contents

Q9950 - Q9969  Contrast Agents

Q9950
Injection, sulfur hexafluoride lipid microspheres, per ml
shortInj sulf hexa lipid microsph
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA5.03 Date of Service Edit: ClinicalPrescribing Information
OPH5.03 Date of Service Edit: ClinicalPrescribing Information
Q9951
Low osmolar contrast material, 400 or greater mg/ml iodine concentration, per ml
shortLocm >= 400 mg/ml iodine,1ml
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA0.03 Date of Service Edit: ClinicalDrug discontinued
OPH0.03 Date of Service Edit: ClinicalDrug discontinued
Q9953
Injection, iron-based magnetic resonance contrast agent, per ml
shortInj fe-based mr contrast,1ml
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA10.03 Date of Service Edit: ClinicalPrescribing Information
OPH10.03 Date of Service Edit: ClinicalPrescribing Information
Q9954
Oral magnetic resonance contrast agent, per 100 ml
shortOral mr contrast, 100 ml
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA18.03 Date of Service Edit: ClinicalPrescribing Information
OPH18.03 Date of Service Edit: ClinicalPrescribing Information
Q9955
Injection, perflexane lipid microspheres, per ml
shortInj perflexane lip micros,ml
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA0.03 Date of Service Edit: ClinicalDrug discontinued
OPH0.03 Date of Service Edit: ClinicalDrug discontinued
Q9956
Injection, octafluoropropane microspheres, per ml
shortInj octafluoropropane mic,ml
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA9.03 Date of Service Edit: ClinicalPrescribing Information
OPH9.03 Date of Service Edit: ClinicalPrescribing Information
Q9957
Injection, perflutren lipid microspheres, per ml
shortInj perflutren lip micros,ml
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA3.03 Date of Service Edit: ClinicalPrescribing Information
OPH3.03 Date of Service Edit: ClinicalPrescribing Information
Q9958
High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml
shortHocm <=149 mg/ml iodine, 1ml
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA300.03 Date of Service Edit: ClinicalPrescribing Information
OPH600.03 Date of Service Edit: ClinicalClinical: Data
Q9959
High osmolar contrast material, 150-199 mg/ml iodine concentration, per ml
shortHocm 150-199mg/ml iodine,1ml
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA0.03 Date of Service Edit: ClinicalDrug discontinued
OPH0.03 Date of Service Edit: ClinicalDrug discontinued
Q9960
High osmolar contrast material, 200-249 mg/ml iodine concentration, per ml
shortHocm 200-249mg/ml iodine,1ml
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA250.03 Date of Service Edit: ClinicalPrescribing Information
OPH250.03 Date of Service Edit: ClinicalPrescribing Information
Q9961
High osmolar contrast material, 250-299 mg/ml iodine concentration, per ml
shortHocm 250-299mg/ml iodine,1ml
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA200.03 Date of Service Edit: ClinicalPrescribing Information
OPH200.03 Date of Service Edit: ClinicalPrescribing Information
Q9962
High osmolar contrast material, 300-349 mg/ml iodine concentration, per ml
shortHocm 300-349mg/ml iodine,1ml
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA150.03 Date of Service Edit: ClinicalPrescribing Information
OPH200.03 Date of Service Edit: ClinicalClinical: Data
Q9963
High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml
shortHocm 350-399mg/ml iodine,1ml
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA240.03 Date of Service Edit: ClinicalPrescribing Information
OPH240.03 Date of Service Edit: ClinicalPrescribing Information
Q9964
High osmolar contrast material, 400 or greater mg/ml iodine concentration, per ml
shortHocm>= 400mg/ml iodine, 1ml
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA0.03 Date of Service Edit: ClinicalDrug discontinued
OPH0.03 Date of Service Edit: ClinicalDrug discontinued
Q9965
Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml
shortLocm 100-199mg/ml iodine,1ml
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
Q9966
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml
shortLocm 200-299mg/ml iodine,1ml
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA250.03 Date of Service Edit: ClinicalPrescribing Information
OPH250.03 Date of Service Edit: ClinicalPrescribing Information
Q9967
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml
shortLocm 300-399mg/ml iodine,1ml
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA300.03 Date of Service Edit: ClinicalPrescribing Information
OPH300.03 Date of Service Edit: ClinicalPrescribing Information
Q9968
Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg
shortVisualization adjunct
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
Q9969
Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose
shortNon-heu tc-99m add-on/dose
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA3.03 Date of Service Edit: ClinicalClinical: Society Comment
OPH3.03 Date of Service Edit: ClinicalClinical: Society Comment