OMNIPAQUE Q Code: Q9965
Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml
Q4 2026 Medicare Payment Limit for Q9965, effective October 1, 2026: $1.787 per HCPCS billing unit, up 138.3% from $0.75. From CMS's final file.
Drug & Product Overview
About OMNIPAQUE
Omnipaque is a medication aligned to the HCPCS Q Code: Q9965 for billing, pricing, and reimbursement purposes in the United States. This Imaging/Radiopharmaceutical medication is administered via the intrathecal, intravascular, intravenous, oral, or rectal routes and manufactured by GE Healthcare.
According to CMS Drug Use Information: This medication is used before X-ray imaging tests (such as CT scans). Iohexol contains iodine and belongs to a class of drugs known as contrast media or dyes. It works by adding contrast to body parts and fluids in these imaging tests. Iohexol improves the images obtained during a CT scan, so your doctor can more easily diagnose your condition.
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 |
|---|---|---|---|---|
| 00407-1401-52 | Omnipaque | GE Healthcare Inc. | 500 | 7000 MG / 50 ML |
| 00407-1411-10 | Omnipaque | GE Healthcare Inc. | 100 | 1800 MG / 10 ML |
| 00407-1411-20 | Omnipaque 180 | GE Healthcare Inc. | 200 | 180 MG |
OMNIPAQUE Pricing & Reimbursement
National median reimbursement across major commercial payers.
Create an account on PayerPrice for more information →
Historical Graphing and Billing Calculator
Log in to calculate billing and reimbursement with live ASP, WAC & AWP pricing.
Login to use the calculator →OMNIPAQUE 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 |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour |
| 96372 Login for More | Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intramuscular Login for More |
CMS does not include Omnipaque (Q9965) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing Q9965. Wastage billing guide →
OMNIPAQUE Medically Unlikely Edits (MUE)
The most billing units of Q9965 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.
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 →
OMNIPAQUE 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.
No conditions match your search.
Login for BuyandBill.com Analytics
Unlock deeper insights with BuyandBill’s Comparative Report!
- Compare ASP, WAC, and AWP across drugs.
- Visualize Drug Price Movement Over Time
- Tailor reports to drug class, manufacturer, or HCPCS Code.
- Compare Biosimilar and 505(b)(2) products.
Frequently Asked Questions
Is there an available Omnipaque billing and coding guide?
Are there any available Omnipaque patient assistance programs?
Where can I find Omnipaque prescribing information?
Where can I find Omnipaque side effect information?
Does billing OMNIPAQUE require JZ/JW wastage modifiers?
About BuyandBill.com:
The BuyandBill.com team is dedicated to delivering high-quality coding and billing information for office-administered drugs. We continuously research HCPCS-coded medications to expand our resources and ensure data accuracy. Manufacturers: click here to sponsor your medication, and we will ensure the most accurate and detailed information is displayed.
Related Drug Codes
Explore billing, coding, and pricing for drugs related to OMNIPAQUE.
