Help with coding Omnipaque

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Clearwater, FL
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I am an auditor for our coding denials.

I see where our coding team is coding Q9967 for Omnipaque 350, but the 100mlis only being administered. Would that be coded to Q9965? Because only 100ml was used..
 
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Q9967 is the correct HCPCS code. Code is based on mg/ml of iodine, not total ml administered to the patient. Correct billing would be Q9967 x 100 units.

Patricia Murrin, CPC, RCC
 
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Q9967 is billed by # of ml given to patient. If patient is given 100 ml, then Q9967 is billed x 100 units. The 350 in the name of the contrast is the # of mg per ml of contrast material. Q9965 would be used if the concentration of iodine was between 100-199 mg per ml. Q9967 is used for contrast material containing 300-399 mg per ml, so in the case of Omnipaque 350, Q9967 is correct. Q9966 would be used for concentrations of 200-299 mg per ml.
 
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Clearwater, FL
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Thank you.

Q9967 is billed by # of ml given to patient. If patient is given 100 ml, then Q9967 is billed x 100 units. The 350 in the name of the contrast is the # of mg per ml of contrast material. Q9965 would be used if the concentration of iodine was between 100-199 mg per ml. Q9967 is used for contrast material containing 300-399 mg per ml, so in the case of Omnipaque 350, Q9967 is correct. Q9966 would be used for concentrations of 200-299 mg per ml.

Thank you for your help. I appreciate you replying. :D
 

mfree02

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greatbiller...Where did you get your information from on the billing of Q9967? I'm asking as I am running into some similar issues.
 
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