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Q Codes
Q Codes
Miscellaneous Services (Temporary Codes)
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Codes
q0035
Cardiokymography
q0081
Infusion therapy, using other than chemotherapeutic drugs, per visit
q0083
Chemotherapy administration by other than infusion technique only (e.g., subcutaneous, intramuscular, push), per visit
q0084
Chemotherapy administration by infusion technique only, per visit
q0085
Chemotherapy administration by both infusion technique and other technique(s) (e.g., subcutaneous, intramuscular, push), per visit
q0091
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory
q0092
Set-up portable x-ray equipment
q0111
Wet mounts, including preparations of vaginal, cervical or skin specimens
q0112
All potassium hydroxide (koh) preparations
q0113
Pinworm examinations
q0114
Fern test
q0115
Post-coital direct, qualitative examinations of vaginal or cervical mucous
q0138
Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use)
q0139
Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (for esrd on dialysis)
q0144
Azithromycin dihydrate, oral, capsules/powder, 1 gram
q0161
Chlorpromazine hydrochloride, 5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen
q0162
Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen
q0163
Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen
q0164
Prochlorperazine maleate, 5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen
q0166
Granisetron hydrochloride, 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 24 hour dosage regimen
q0167
Dronabinol, 2.5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen
q0169
Promethazine hydrochloride, 12.5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen
q0173
Trimethobenzamide hydrochloride, 250 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen
q0174
Thiethylperazine maleate, 10 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen
q0175
Perphenazine, 4 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen
q0177
Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen
q0180
Dolasetron mesylate, 100 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 24 hour dosage regimen
q0181
Unspecified oral dosage form, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for a iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen
q0239
Injection, bamlanivimab-xxxx, 700 mg
q0240
Injection, casirivimab and imdevimab, 600 mg
q0243
Injection, casirivimab and imdevimab, 2400 mg
q0244
Injection, casirivimab and imdevimab, 1200 mg
q0245
Injection, bamlanivimab and etesevimab, 2100 mg
q0247
Injection, sotrovimab, 500 mg
q0249
Injection, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, 1 mg
q0477
Power module patient cable for use with electric or electric/pneumatic ventricular assist device, replacement only
q0478
Power adapter for use with electric or electric/pneumatic ventricular assist device, vehicle type
q0479
Power module for use with electric or electric/pneumatic ventricular assist device, replacement only
q0480
Driver for use with pneumatic ventricular assist device, replacement only
q0481
Microprocessor control unit for use with electric ventricular assist device, replacement only
q0482
Microprocessor control unit for use with electric/pneumatic combination ventricular assist device, replacement only
q0483
Monitor/display module for use with electric ventricular assist device, replacement only
q0484
Monitor/display module for use with electric or electric/pneumatic ventricular assist device, replacement only
q0485
Monitor control cable for use with electric ventricular assist device, replacement only
q0486
Monitor control cable for use with electric/pneumatic ventricular assist device, replacement only
q0487
Leads (pneumatic/electrical) for use with any type electric/pneumatic ventricular assist device, replacement only
q0488
Power pack base for use with electric ventricular assist device, replacement only
q0489
Power pack base for use with electric/pneumatic ventricular assist device, replacement only
q0490
Emergency power source for use with electric ventricular assist device, replacement only
q0491
Emergency power source for use with electric/pneumatic ventricular assist device, replacement only
q0492
Emergency power supply cable for use with electric ventricular assist device, replacement only
q0493
Emergency power supply cable for use with electric/pneumatic ventricular assist device, replacement only
q0494
Emergency hand pump for use with electric or electric/pneumatic ventricular assist device, replacement only
q0495
Battery/power pack charger for use with electric or electric/pneumatic ventricular assist device, replacement only
q0496
Battery, other than lithium-ion, for use with electric or electric/pneumatic ventricular assist device, replacement only
q0497
Battery clips for use with electric or electric/pneumatic ventricular assist device, replacement only
q0498
Holster for use with electric or electric/pneumatic ventricular assist device, replacement only
q0499
Belt/vest/bag for use to carry external peripheral components of any type ventricular assist device, replacement only
q0500
Filters for use with electric or electric/pneumatic ventricular assist device, replacement only
q0501
Shower cover for use with electric or electric/pneumatic ventricular assist device, replacement only
q0502
Mobility cart for pneumatic ventricular assist device, replacement only
q0503
Battery for pneumatic ventricular assist device, replacement only, each
q0504
Power adapter for pneumatic ventricular assist device, replacement only, vehicle type
q0506
Battery, lithium-ion, for use with electric or electric/pneumatic ventricular assist device, replacement only
q0507
Miscellaneous supply or accessory for use with an external ventricular assist device
q0508
Miscellaneous supply or accessory for use with an implanted ventricular assist device
q0509
Miscellaneous supply or accessory for use with any implanted ventricular assist device for which payment was not made under medicare part a
q0510
Pharmacy supply fee for initial immunosuppressive drug(s), first month following transplant
q0511
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period
q0512
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period
q0513
Pharmacy dispensing fee for inhalation drug(s); per 30 days
q0514
Pharmacy dispensing fee for inhalation drug(s); per 90 days
q0515
Injection, sermorelin acetate, 1 microgram
q1004
New technology intraocular lens category 4 as defined in federal register notice
q1005
New technology intraocular lens category 5 as defined in federal register notice
q2004
Irrigation solution for treatment of bladder calculi, for example renacidin, per 500 ml
q2009
Injection, fosphenytoin, 50 mg phenytoin equivalent
q2017
Injection, teniposide, 50 mg
q2026
Injection, radiesse, 0.1 ml
q2028
Injection, sculptra, 0.5 mg
q2034
Influenza virus vaccine, split virus, for intramuscular use (agriflu)
q2035
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria)
q2036
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval)
q2037
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin)
q2038
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone)
q2039
Influenza virus vaccine, not otherwise specified
q2040
Tisagenlecleucel, up to 250 million car-positive viable t cells, including leukapheresis and dose preparation procedures, per infusion
q2041
Axicabtagene ciloleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose
q2042
Tisagenlecleucel, up to 600 million car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose
q2043
Sipuleucel-t, minimum of 50 million autologous cd54+ cells activated with pap-gm-csf, including leukapheresis and all other preparatory procedures, per infusion
q2049
Injection, doxorubicin hydrochloride, liposomal, imported lipodox, 10 mg
q2050
Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg
q2052
Services, supplies and accessories used in the home under the medicare intravenous immune globulin (ivig) demonstration
q2053
Brexucabtagene autoleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose
q2054
Lisocabtagene maraleucel, up to 110 million autologous anti-cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose
q2055
Idecabtagene vicleucel, up to 460 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose
q3001
Radioelements for brachytherapy, any type, each
q3014
Telehealth originating site facility fee
q3027
Injection, interferon beta-1a, 1 mcg for intramuscular use
q3028
Injection, interferon beta-1a, 1 mcg for subcutaneous use
q3031
Collagen skin test
q4001
Casting supplies, body cast adult, with or without head, plaster
q4002
Cast supplies, body cast adult, with or without head, fiberglass
q4003
Cast supplies, shoulder cast, adult (11 years +), plaster
q4004
Cast supplies, shoulder cast, adult (11 years +), fiberglass
q4005
Cast supplies, long arm cast, adult (11 years +), plaster
q4006
Cast supplies, long arm cast, adult (11 years +), fiberglass
q4007
Cast supplies, long arm cast, pediatric (0-10 years), plaster
q4008
Cast supplies, long arm cast, pediatric (0-10 years), fiberglass
q4009
Cast supplies, short arm cast, adult (11 years +), plaster
q4010
Cast supplies, short arm cast, adult (11 years +), fiberglass
q4011
Cast supplies, short arm cast, pediatric (0-10 years), plaster
q4012
Cast supplies, short arm cast, pediatric (0-10 years), fiberglass
q4013
Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), plaster
q4014
Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), fiberglass
q4015
Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), plaster
q4016
Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), fiberglass
q4017
Cast supplies, long arm splint, adult (11 years +), plaster
q4018
Cast supplies, long arm splint, adult (11 years +), fiberglass
q4019
Cast supplies, long arm splint, pediatric (0-10 years), plaster
q4020
Cast supplies, long arm splint, pediatric (0-10 years), fiberglass
q4021
Cast supplies, short arm splint, adult (11 years +), plaster
q4022
Cast supplies, short arm splint, adult (11 years +), fiberglass
q4023
Cast supplies, short arm splint, pediatric (0-10 years), plaster
q4024
Cast supplies, short arm splint, pediatric (0-10 years), fiberglass
q4025
Cast supplies, hip spica (one or both legs), adult (11 years +), plaster
q4026
Cast supplies, hip spica (one or both legs), adult (11 years +), fiberglass
q4027
Cast supplies, hip spica (one or both legs), pediatric (0-10 years), plaster
q4028
Cast supplies, hip spica (one or both legs), pediatric (0-10 years), fiberglass
q4029
Cast supplies, long leg cast, adult (11 years +), plaster
q4030
Cast supplies, long leg cast, adult (11 years +), fiberglass
q4031
Cast supplies, long leg cast, pediatric (0-10 years), plaster
q4032
Cast supplies, long leg cast, pediatric (0-10 years), fiberglass
q4033
Cast supplies, long leg cylinder cast, adult (11 years +), plaster
q4034
Cast supplies, long leg cylinder cast, adult (11 years +), fiberglass
q4035
Cast supplies, long leg cylinder cast, pediatric (0-10 years), plaster
q4036
Cast supplies, long leg cylinder cast, pediatric (0-10 years), fiberglass
q4037
Cast supplies, short leg cast, adult (11 years +), plaster
q4038
Cast supplies, short leg cast, adult (11 years +), fiberglass
q4039
Cast supplies, short leg cast, pediatric (0-10 years), plaster
q4040
Cast supplies, short leg cast, pediatric (0-10 years), fiberglass
q4041
Cast supplies, long leg splint, adult (11 years +), plaster
q4042
Cast supplies, long leg splint, adult (11 years +), fiberglass
q4043
Cast supplies, long leg splint, pediatric (0-10 years), plaster
q4044
Cast supplies, long leg splint, pediatric (0-10 years), fiberglass
q4045
Cast supplies, short leg splint, adult (11 years +), plaster
q4046
Cast supplies, short leg splint, adult (11 years +), fiberglass
q4047
Cast supplies, short leg splint, pediatric (0-10 years), plaster
q4048
Cast supplies, short leg splint, pediatric (0-10 years), fiberglass
q4049
Finger splint, static
q4050
Cast supplies, for unlisted types and materials of casts
q4051
Splint supplies, miscellaneous (includes thermoplastics, strapping, fasteners, padding and other supplies)
q4074
Iloprost, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 20 micrograms
q4081
Injection, epoetin alfa, 100 units (for esrd on dialysis)
q4082
Drug or biological, not otherwise classified, part b drug competitive acquisition program (cap)
q4100
Skin substitute, not otherwise specified
q4101
Apligraf, per square centimeter
q4102
Oasis wound matrix, per square centimeter
q4103
Oasis burn matrix, per square centimeter
q4104
Integra bilayer matrix wound dressing (bmwd), per square centimeter
q4105
Integra dermal regeneration template (drt) or integra omnigraft dermal regeneration matrix, per square centimeter
q4106
Dermagraft, per square centimeter
q4107
Graftjacket, per square centimeter
q4108
Integra matrix, per square centimeter
q4110
Primatrix, per square centimeter
q4111
Gammagraft, per square centimeter
q4112
Cymetra, injectable, 1 cc
q4113
Graftjacket xpress, injectable, 1 cc
q4114
Integra flowable wound matrix, injectable, 1 cc
q4115
Alloskin, per square centimeter
q4116
Alloderm, per square centimeter
q4117
Hyalomatrix, per square centimeter
q4118
Matristem micromatrix, 1 mg
q4119
Matristem wound matrix, per square centimeter
q4120
Matristem burn matrix, per square centimeter
q4121
Theraskin, per square centimeter
q4122
Dermacell, dermacell awm or dermacell awm porous, per square centimeter
q4123
Alloskin rt, per square centimeter
q4124
Oasis ultra tri-layer wound matrix, per square centimeter
q4125
Arthroflex, per square centimeter
q4126
Memoderm, dermaspan, tranzgraft or integuply, per square centimeter
q4127
Talymed, per square centimeter
q4128
Flex hd, allopatch hd, or matrix hd, per square centimeter
q4129
Unite biomatrix, per square centimeter
q4130
Strattice tm, per square centimeter
q4131
Epifix or epicord, per square centimeter
q4132
Grafix core and grafixpl core, per square centimeter
q4133
Grafix prime, grafixpl prime, stravix and stravixpl, per square centimeter
q4134
Hmatrix, per square centimeter
q4135
Mediskin, per square centimeter
q4136
Ez-derm, per square centimeter
q4137
Amnioexcel, amnioexcel plus or biodexcel, per square centimeter
q4138
Biodfence dryflex, per square centimeter
q4139
Amniomatrix or biodmatrix, injectable, 1 cc
q4140
Biodfence, per square centimeter
q4141
Alloskin ac, per square centimeter
q4142
Xcm biologic tissue matrix, per square centimeter
q4143
Repriza, per square centimeter
q4145
Epifix, injectable, 1 mg
q4146
Tensix, per square centimeter
q4147
Architect, architect px, or architect fx, extracellular matrix, per square centimeter
q4148
Neox cord 1k, neox cord rt, or clarix cord 1k, per square centimeter
q4149
Excellagen, 0.1 cc
q4150
Allowrap ds or dry, per square centimeter
q4151
Amnioband or guardian, per square centimeter
q4152
Dermapure, per square centimeter
q4153
Dermavest and plurivest, per square centimeter
q4154
Biovance, per square centimeter
q4155
Neoxflo or clarixflo, 1 mg
q4156
Neox 100 or clarix 100, per square centimeter
q4157
Revitalon, per square centimeter
q4158
Kerecis omega3, per square centimeter
q4159
Affinity, per square centimeter
q4160
Nushield, per square centimeter
q4161
Bio-connekt wound matrix, per square centimeter
q4162
Woundex flow, bioskin flow, 0.5 cc
q4163
Woundex, bioskin, per square centimeter
q4164
Helicoll, per square centimeter
q4165
Keramatrix or kerasorb, per square centimeter
q4166
Cytal, per square centimeter
q4167
Truskin, per square centimeter
q4168
Amnioband, 1 mg
q4169
Artacent wound, per square centimeter
q4170
Cygnus, per square centimeter
q4171
Interfyl, 1 mg
q4172
Puraply or puraply am, per square centimeter
q4173
Palingen or palingen xplus, per square centimeter
q4174
Palingen or promatrx, 0.36 mg per 0.25 cc
q4175
Miroderm, per square centimeter
q4176
Neopatch or therion, per square centimeter
q4177
Floweramnioflo, 0.1 cc
q4178
Floweramniopatch, per square centimeter
q4179
Flowerderm, per square centimeter
q4180
Revita, per square centimeter
q4181
Amnio wound, per square centimeter
q4182
Transcyte, per square centimeter
q4183
Surgigraft, per square centimeter
q4184
Cellesta or cellesta duo, per square centimeter
q4185
Cellesta flowable amnion (25 mg per cc); per 0.5 cc
q4186
Epifix, per square centimeter
q4187
Epicord, per square centimeter
q4188
Amnioarmor, per square centimeter
q4189
Artacent ac, 1 mg
q4190
Artacent ac, per square centimeter
q4191
Restorigin, per square centimeter
q4192
Restorigin, 1 cc
q4193
Coll-e-derm, per square centimeter
q4194
Novachor, per square centimeter
q4195
Puraply, per square centimeter
q4196
Puraply am, per square centimeter
q4197
Puraply xt, per square centimeter
q4198
Genesis amniotic membrane, per square centimeter
q4199
Cygnus matrix, per square centimeter
q4200
Skin te, per square centimeter
q4201
Matrion, per square centimeter
q4202
Keroxx (2.5g/cc), 1cc
q4203
Derma-gide, per square centimeter
q4204
Xwrap, per square centimeter
q4205
Membrane graft or membrane wrap, per square centimeter
q4206
Fluid flow or fluid gf, 1 cc
q4208
Novafix, per square cenitmeter
q4209
Surgraft, per square centimeter
q4210
Axolotl graft or axolotl dualgraft, per square centimeter
q4211
Amnion bio or axobiomembrane, per square centimeter
q4212
Allogen, per cc
q4213
Ascent, 0.5 mg
q4214
Cellesta cord, per square centimeter
q4215
Axolotl ambient or axolotl cryo, 0.1 mg
q4216
Artacent cord, per square centimeter
q4217
Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter
q4218
Surgicord, per square centimeter
q4219
Surgigraft-dual, per square centimeter
q4220
Bellacell hd or surederm, per square centimeter
q4221
Amniowrap2, per square centimeter
q4222
Progenamatrix, per square centimeter
q4226
Myown skin, includes harvesting and preparation procedures, per square centimeter
q4227
Amniocore, per square centimeter
q4228
Bionextpatch, per square centimeter
q4229
Cogenex amniotic membrane, per square centimeter
q4230
Cogenex flowable amnion, per 0.5 cc
q4231
Corplex p, per cc
q4232
Corplex, per square centimeter
q4233
Surfactor or nudyn, per 0.5 cc
q4234
Xcellerate, per square centimeter
q4235
Amniorepair or altiply, per square centimeter
q4236
Carepatch, per square centimeter
q4237
Cryo-cord, per square centimeter
q4238
Derm-maxx, per square centimeter
q4239
Amnio-maxx or amnio-maxx lite, per square centimeter
q4240
Corecyte, for topical use only, per 0.5 cc
q4241
Polycyte, for topical use only, per 0.5 cc
q4242
Amniocyte plus, per 0.5 cc
q4244
Procenta, per 200 mg
q4245
Amniotext, per cc
q4246
Coretext or protext, per cc
q4247
Amniotext patch, per square centimeter
q4248
Dermacyte amniotic membrane allograft, per square centimeter
q4249
Amniply, for topical use only, per square centimeter
q4250
Amnioamp-mp, per square centimeter
q4251
Vim, per square centimeter
q4252
Vendaje, per square centimeter
q4253
Zenith amniotic membrane, per square centimeter
q4254
Novafix dl, per square centimeter
q4255
Reguard, for topical use only, per square centimeter
q5001
Hospice or home health care provided in patient's home/residence
q5002
Hospice or home health care provided in assisted living facility
q5003
Hospice care provided in nursing long term care facility (ltc) or non-skilled nursing facility (nf)
q5004
Hospice care provided in skilled nursing facility (snf)
q5005
Hospice care provided in inpatient hospital
q5006
Hospice care provided in inpatient hospice facility
q5007
Hospice care provided in long term care facility
q5008
Hospice care provided in inpatient psychiatric facility
q5009
Hospice or home health care provided in place not otherwise specified (nos)
q5010
Hospice home care provided in a hospice facility
q5101
Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram
q5102
Injection, infliximab, biosimilar, 10 mg
q5103
Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg
q5104
Injection, infliximab-abda, biosimilar, (renflexis), 10 mg
q5105
Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units
q5106
Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units
q5107
Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg
q5108
Injection, pegfilgrastim-jmdb, biosimilar, (fulphila), 0.5 mg
q5109
Injection, infliximab-qbtx, biosimilar, (ixifi), 10 mg
q5110
Injection, filgrastim-aafi, biosimilar, (nivestym), 1 microgram
q5111
Injection, pegfilgrastim-cbqv, biosimilar, (udenyca), 0.5 mg
q5112
Injection, trastuzumab-dttb, biosimilar, (ontruzant), 10 mg
q5113
Injection, trastuzumab-pkrb, biosimilar, (herzuma), 10 mg
q5114
Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg
q5115
Injection, rituximab-abbs, biosimilar, (truxima), 10 mg
q5116
Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg
q5117
Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg
q5118
Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg
q5119
Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg
q5120
Injection, pegfilgrastim-bmez, biosimilar, (ziextenzo), 0.5 mg
q5121
Injection, infliximab-axxq, biosimilar, (avsola), 10 mg
q5122
Injection, pegfilgrastim-apgf, biosimilar, (nyvepria), 0.5 mg
q5123
Injection, rituximab-arrx, biosimilar, (riabni), 10 mg
q9001
Assessment by department of veterans affairs chaplain services
q9002
Counseling, individual, by department of veterans affairs chaplain services
q9003
Counseling, group, by department of veterans affairs chaplain services
q9004
Department of veterans affairs whole health partner services
q9950
Injection, sulfur hexafluoride lipid microspheres, per ml
q9951
Low osmolar contrast material, 400 or greater mg/ml iodine concentration, per ml
q9953
Injection, iron-based magnetic resonance contrast agent, per ml
q9954
Oral magnetic resonance contrast agent, per 100 ml
q9955
Injection, perflexane lipid microspheres, per ml
q9956
Injection, octafluoropropane microspheres, per ml
q9957
Injection, perflutren lipid microspheres, per ml
q9958
High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml
q9959
High osmolar contrast material, 150-199 mg/ml iodine concentration, per ml
q9960
High osmolar contrast material, 200-249 mg/ml iodine concentration, per ml
q9961
High osmolar contrast material, 250-299 mg/ml iodine concentration, per ml
q9962
High osmolar contrast material, 300-349 mg/ml iodine concentration, per ml
q9963
High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml
q9964
High osmolar contrast material, 400 or greater mg/ml iodine concentration, per ml
q9965
Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml
q9966
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml
q9967
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml
q9968
Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg
q9969
Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose
q9970
Injection, ferric carboxymaltose, 1mg
q9972
Injection, epoetin beta, 1 microgram, (for esrd on dialysis)
q9973
Injection, epoetin beta, 1 microgram, (non-esrd use)
q9974
Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg
q9975
Injection, factor viii fc fusion protein (recombinant), per iu
q9976
Injection, ferric pyrophosphate citrate solution, 0.1 mg of iron
q9977
Compounded drug, not otherwise classified
q9978
Netupitant 300 mg and palonosetron 0.5 mg
q9979
Injection, alemtuzumab, 1 mg
q9980
Hyaluronan or derivative, genvisc 850, for intra-articular injection, 1 mg
q9981
Rolapitant, oral, 1 mg
q9982
Flutemetamol f18, diagnostic, per study dose, up to 5 millicuries
q9983
Florbetaben f18, diagnostic, per study dose, up to 8.1 millicuries
q9984
Levonorgestrel-releasing intrauterine contraceptive system (kyleena), 19.5 mg
q9985
Injection, hydroxyprogesterone caproate, not otherwise specified, 10 mg
q9986
Injection, hydroxyprogesterone caproate, (makena), 10 mg
q9987
Pathogen(s) test for platelets
q9988
Platelets, pheresis, pathogen-reduced, each unit
q9989
Ustekinumab, for intravenous injection, 1 mg
q9991
Injection, buprenorphine extended-release (sublocade), less than or equal to 100 mg
q9992
Injection, buprenorphine extended-release (sublocade), greater than 100 mg
q9993
Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg
q9994
In-line cartridge containing digestive enzyme(s) for enteral feeding, each
q9995
Injection, emicizumab-kxwh, 0.5 mg
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A Codes
B Codes
C Codes
E Codes
G Codes
H Codes
J Codes
K Codes
L Codes
M Codes
Q Codes
R Codes
S Codes
T Codes
U Codes
V Codes
A Codes
B Codes
C Codes
E Codes
G Codes
H Codes
J Codes
K Codes
L Codes
M Codes
Q Codes
R Codes
S Codes
T Codes
U Codes
V Codes
10223