| Field Name |
Field Value |
| Healthcare Common Procedure Coding System Code |
Q9961 |
| HCPCS Sequence Number |
0010 |
| HCPCS Record Identification Code |
3 - First line of procedure record also contains detail information in positions 92-275 |
| HCPCS Long Description |
High osmolar contrast material, 250-299 mg/ml iodine concentration, per ml |
| HCPCS Short Description |
Hocm 250-299mg/ml iodine,1ml |
| HCPCS Pricing Indicator Code 1 |
51 - Drugs |
| HCPCS Multiple Pricing Indicator Code |
A - Not applicable as HCPCS priced under one methodology |
| HCPCS Medicare Carriers Manual Reference Section Number 1 |
15022 |
| HCPCS Coverage Code |
D - Special coverage instructions apply |
| HCPCS Berenson-Eggers Type Of Service Code |
I1E - Standard imaging - nuclear medicine |
| HCPCS Type Of Service Code 1 |
4 - Diagnostic radiology |
| HCPCS Anesthesia Base Unit Quantity |
0 |
| HCPCS Code Added Date |
7/1/2005 |
| HCPCS Action Effective Date |
7/1/2005 |
| HCPCS Action Code |
N - No maintenance for this code |