LUMASON Q Code: Q9950
Injection, sulfur hexafluoride lipid microspheres, per ml
Q4 2026 Medicare Payment Limit for Q9950, effective October 1, 2026: $18.052 per HCPCS billing unit, down 0.4% from $18.126. From CMS's final file.
Drug & Product Overview
About LUMASON
Lumason is a medication aligned to the HCPCS Q Code: Q9950 for billing, pricing, and reimbursement purposes in the United States. This Imaging/Radiopharmaceutical medication is administered via the intravenous or intravesical routes and manufactured by Bracco Diagnostics Inc.
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 |
|---|---|---|---|---|
| 00270-7097-07 | LumaSon | BRACCO DIAGNOSTICS INC | 100 | 60.7 MG |
| 00270-7097-08 | Lumason | BRACCO DIAGNOSTICS INC | 100 | 60.7 MG |
| 00270-7099-16 | LumaSon | BRACCO DIAGNOSTICS INC | 25 | 25 MG |
| 00270-7099-73 | LumaSon | BRACCO DIAGNOSTICS INC | 25 | 25 MG |
LUMASON Pricing & Reimbursement
National median reimbursement across major commercial payers.
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Login to use the calculator →LUMASON 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 |
|---|---|
| 96374 | Therapeutic, prophylactic, or diagnostic injection (specify substance or drug), IV push, single, or initial substance/drug |
| 96375 | Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug. |
CMS does not include Lumason (Q9950) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing Q9950. Wastage billing guide →
LUMASON Medically Unlikely Edits (MUE)
The most billing units of Q9950 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 ml.
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 →
LUMASON Clinical Information
Indications and drug classification.
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.
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Frequently Asked Questions
Is there an available Lumason billing and coding guide?
Are there any available Lumason patient assistance programs?
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Where can I find Lumason side effect information?
Does billing LUMASON require JZ/JW wastage modifiers?
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