Wiki Help with coding Omnipaque

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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..
 
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
 
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.

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
 
greatbiller...Where did you get your information from on the billing of Q9967? I'm asking as I am running into some similar issues.
 
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.
To make sure I understand this correctly. If there was 175 ml/cc given of this contrast (Omnipaque 350) then it would be Q9967 x 175 units?
 
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