HCPCS code Q9967: Iodinated contrast, 300–399 mg iodine/mL2026 Medicare rate & RVUs in California

Reports each milliliter of low-osmolar iodinated contrast with 300–399 mg iodine/mL used for diagnostic imaging studies.

CMS RVU26DEffective Oct 1, 202629 payment localities

CMS doesn’t publish an office rate for Q9967 in California.

—Office (non-facility)
—Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 9 sections
  1. Rate in California
  2. What Q9967 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What Q9967 covers

Q9967 represents low-osmolar iodinated contrast material in the 300–399 mg iodine-per-milliliter range. Radiology departments, hospitals, and outpatient imaging centers use this contrast for diagnostic studies such as CT and angiographic imaging. The imaging professional selects contrast concentration and volume based on the study and the agent used.

CMS assigns this code physician fee schedule status E, meaning it is excluded from the physician fee schedule. When Medicare covers the item, payment is under another method; CMS classifies it as a Part B drug that is generally paid using the quarterly Average Sales Price drug pricing files. Special Medicare coverage instructions apply. Each unit represents 1 mL of contrast, so report the number of units corresponding to the volume represented on the claim.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where Q9967 pays more and less in California

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

29 of 29 payment localities

Q9967 office and facility rates by payment locality
Payment localityOfficeFacility
Bakersfield, CAUnavailableUnavailable
Chico, CAUnavailableUnavailable
El Centro, CAUnavailableUnavailable
Fresno, CAUnavailableUnavailable
Hanford, CAUnavailableUnavailable
Los Angeles, CAUnavailableUnavailable
Madera, CAUnavailableUnavailable
Marin County, CAUnavailableUnavailable
Merced, CAUnavailableUnavailable
Modesto, CAUnavailableUnavailable

How the Q9967 rate is calculated

Each of Q9967’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · Q9967

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.00

0.00 RVUs× 1.000 GPCI

Practice expense0.00

0.00 RVUs× 1.000 GPCI

Malpractice0.00

0.00 RVUs× 1.000 GPCI

Adjusted RVUs

0.0000

Conversion factor

$33.4009

Medicare rate

$0.00

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for Q9967

Q9967 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

Place of service · Q9967

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

POS 11 · non-facility rate · national

—

Q9967 isn’t priced in this setting.

Q9967 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • Q9967

    Iodinated contrast, 300–399 mg iodine/mL0 wRVU

    Not priced

  • Q9966

    Low-osmolar contrast, 200-299 mg iodine/ml0 wRVU

    Not priced

  • Q9951

    Iodinated contrast, low osmolar, 400+ mg/mL0 wRVU

    Not priced

  • Q9963

    Iodinated contrast, 350–399 mg iodine/mL0 wRVU

    Not priced

How to choose

Q9966Low-osmolar contrast200-299 mg iodine/ml
Both represent low-osmolar iodinated contrast, but Q9966 applies to 200–299 mg iodine/mL; Q9967 applies to 300–399 mg iodine/mL.
Q9951Iodinated contrastLow osmolar, 400+ mg/mL
Both are low-osmolar iodinated contrast codes. Q9951 is for concentrations of 400 mg iodine/mL or greater, rather than Q9967’s 300–399 mg iodine/mL range.
Q9963Iodinated contrast350–399 mg iodine/mL
Q9963 represents high-osmolar contrast at 350–399 mg iodine/mL. Q9967 is for low-osmolar contrast in the 300–399 mg iodine/mL range.

Q9967 billing questions

How is Q9967 distinguished from Q9966?

Q9967 is for low-osmolar contrast with 300–399 mg iodine/mL. Q9966 is for low-osmolar contrast with 200–299 mg iodine/mL.

What does one unit represent?

One unit represents 1 mL. The reported units correspond to the contrast volume represented on the claim.

What does Q9967 identify?

It identifies the contrast material by osmolarity and iodine concentration, rather than identifying the imaging study.

How does Medicare treat Q9967?

CMS assigns status E, excluding it from the physician fee schedule. When covered, it is classified as a Part B drug generally paid using CMS quarterly ASP drug pricing files, and special Medicare coverage instructions apply.

Does the iodine concentration determine which contrast code to report?

Yes. Select the code whose contrast type and iodine concentration range match the material used; Q9967 is for low-osmolar contrast at 300–399 mg iodine/mL.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates

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