Home › Drug Codes › Q Codes › Q9958 · CYSTOGRAFIN
Updated July 1st, 2026

CYSTOGRAFIN Q Code: Q9958

High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml

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Q4 2026 Medicare Payment Limit for Q9958, effective October 1, 2026: $0.08 per HCPCS billing unit, up 3.9% from $0.077. From CMS's final file.

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Medicare Payment Limit ?
$0.077
/ HCPCS billing unit · Q3 2026
APC Payment Limit ?
Not published
CMS publishes none for Q3 2026
ASP ?
$•••.••
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WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
4
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Drug & Product Overview

HCPCS Descriptor High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml
HCPCS Added Date July 1, 2005
Manufacturer Multiple Manufacturers
Route of Administration Intravenous, Intravesical, Ureteral
Generic Status Multi-Source; Generic
Dosage Type Single-Dose
Dosage Form Injection | Injection, Solution

About CYSTOGRAFIN

Cystografin is a medication aligned to the HCPCS Q Code: Q9958 for billing, pricing, and reimbursement purposes in the United States. Classified under Imaging/Radiopharmaceutical, it is administered via the intravenous, intravesical, or ureteral routes and manufactured by multiple companies.

According to CMS Drug Use Information: Drug uses not available

Disclaimer: This is a summary and does not contain all possible information about this product. For complete information about this product or your specific health needs, ask your healthcare professional.

NDC Code Information

Based on publicly available CMS files. The list of NDCs below is not exhaustive.

NDC Code Drug Manufacturer Billing Units / Pkg Package Size
00019-0862-50 Cysto-Conray II Liebel-Flarsheim Company LLC 3000 43000 MG / 250 ML
00270-0149-57 Cystografin BRACCO DIAGNOSTICS INC 3000 90000 MG / 300 ML
00270-0149-60 Cystografin BRACCO DIAGNOSTICS INC 1000 30000 MG / 100 ML
00270-1410-30 Cystografin Dilute BRACCO DIAGNOSTICS INC 3000 54000 MG / 300 ML
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CYSTOGRAFIN Pricing & Reimbursement

Q9958 Private Payer Reimbursement
$0.09 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

Historical Graphing and Billing Calculator

per HCPCS unit
As of Q3 2026

CYSTOGRAFIN CPT Administration Codes

The below list of CPT codes is intended for informational purposes only and may not be exhaustive. CPT® codes and descriptions are copyright American Medical Association (AMA). All rights reserved.

CPT Code Description
51600 Injection procedure for cystography.
51605 Injection procedure for cystography.
Not on the CMS JW / JZ list

CMS does not include Cystografin (Q9958) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing Q9958. Wastage billing guide →

CYSTOGRAFIN Medically Unlikely Edits (MUE)

The most billing units of Q9958 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 ml. The limit is different in the office and the hospital. Use the one for your setting.

Practitioner Office
300 units / day
= 300 ml per day
Hospital Outpatient
600 units / day
= 600 ml per day

MAI 3 · Date of Service Edit: Clinical. Per-day limit based on clinical expectations; excess units are denied but may be appealed with documentation of medical necessity. See all MUE limits →

ml Enter a dose to see how many billing units it is and whether it is under the limit.

CYSTOGRAFIN Clinical Information

Indications and drug classification.

Treated Diseases & Conditions

This list of indications is not exhaustive and may be subject to errors. The information on BuyandBill.com is intended for informational purposes only and should not be used for medical advice.

Cystography and Cystourethrography retrograde cystourethrography
Drug Class
Radiographic Contrast Agent [EPC]X-Ray Contrast Activity [MoA]

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Frequently Asked Questions

Is there an available Cystografin billing and coding guide?
We have not yet identified a manufacturer source of Cystografin billing and coding information.
Are there any available Cystografin patient assistance programs?
Our team did not identify a source for Cystografin patient assistance information. Please reach out to our team if you feel that this is a mistake.
Where can I find Cystografin prescribing information?
Our team is still working to identify a prescribing information source for CYSTOGRAFIN
Where can I find Cystografin side effect information?
Our team has not yet identified a source of side effects information for CYSTOGRAFIN. Please check back in a few weeks.
Does billing CYSTOGRAFIN require JZ/JW wastage modifiers?
CMS does not include CYSTOGRAFIN (Q9958) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing Q9958. For more information, visit the link below.

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