`Q9962` Hocm 300-349mg/ml iodine,1ml

High osmolar contrast material, 300-349 mg/ml iodine concentration, per ml

Medicare coverage: Special coverage instructions apply
Status: active (October 2026 file)

Medically Unlikely Edits (effective October 1, 2026)

Practitioner: max 150 units per day (clinical), rationale: Prescribing Information
Outpatient hospital: max 200 units per day (clinical), rationale: Clinical: Data

Medicare pricing for Q9962

Physician Fee Schedule (CY 2026, RVU26D)

Status E: excluded from the PFS by regulation.

Payer policies and prior authorization for Q9962

Payer coverage policies that name Q9962

Q9962 appears in 3 coverage policies from Aetna.

Payer	Policy	Role in policy	Reviewed	Document
Aetna	Back Pain - Invasive Procedures (0016)	listed, no stance (range Q9958-Q9967)	Oct 6, 2026	payer document
Aetna	Discography (0733)	listed, no stance (range Q9958-Q9967)	Jun 17, 2025	payer document
Aetna	Positron Emission Tomography (PET) (0071)	listed, no stance (range Q9958-Q9967)	Sep 14, 2026	payer document

Medicaid fee-for-service

Prior authorization required or conditional in IN.

AZ: $0.18 (outpatient_hospital), effective Jan 1, 2025
CO: $0.23 (health_first_colorado), effective Jul 1, 2026
KY: $0.00 (asc), effective Jan 1, 2026
ND: $0.00 (physician), effective Aug 1, 2026
VA: $0.18 (medical), effective Oct 1, 2008
VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026
WA: $4.02 (professional_administered_drugs), effective Jul 1, 2026
WY: $0.00 (outpatient_hospital_apc, Children's Hospitals), effective Apr 1, 2026

From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.

Q9962 Hocm 300-349mg/ml iodine,1ml