HCPCS Q9957

Injection, perflutren lipid microspheres, per ml

HCPCS Information

HCPCS Code: Q9957
The Healthcare Common Procedure Coding System (HCPCS) is a set of unique alphanumeric codes used to report medical procedures and services to healthcare programs like Medicare and Medicaid. HCPCS codes are used in conjunction with NDC codes for billing and medical documentation puporses. For instance, HCPCS Q9957 identifies the type of service or supply used while any of the 2 NDC codes below could be used to specify the exact drug used.
Short Description
Inj perflutren lip micros,ml
Long Description
Injection, perflutren lipid microspheres, per ml
Pricing Indicator
Other carrier priced
Multiple Pricing Indicator
Not applicable as HCPCS priced under one methodology
Coverage Description
Carrier judgment
BETOS Type of Service
Standard imaging - other
Medicare Payment Limit
$41.20
Medicare Co-Insurance Percentage
20.000%
HCPCS Classification
List of HCPCS codes for: Temporary Codes (Q-codes)

HCPCS Crossover to NDC Codes

The NDC codes below allow precise billing based on the specific manufacturer and medication used:

NDC Proprietary Name Non-Proprietary Name Dosage Form Route Name Company Name Status
11994-011Definity PerflutrenInjection, SuspensionIntravenousLantheus Medical Imaging, Inc.ACTIVE
11994-017Definity Rt PerflutrenInjection, SuspensionIntravenousLantheus Medical Imaging, Inc.ACTIVE