HCPCS Code Section: HCPCS Q Codes

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 …

Azithromycin dihydrate, oral, capsules/powder, 1 gram Short Description: Azithromycin dihydrate, oral Coverage Code: Non-covered by Medicare Action Code: No maintenance for this code Date Added: July 1, 1996 Effective …

Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (for esrd on dialysis) Short Description: Ferumoxytol, esrd use Coverage Code: Carrier judgment Action Code: No maintenance for this …

Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) Short Description: Ferumoxytol, non-esrd Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: …

Post-coital direct, qualitative examinations of vaginal or cervical mucous Short Description: Post-coital mucous exam Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, …

Fern test Short Description: Fern test Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 1994 Effective Date: January 1, 1994 Termination Date:

Pinworm examinations Short Description: Pinworm examinations Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 1994 Effective Date: January 1, 1994 Termination Date:

All potassium hydroxide (koh) preparations Short Description: Potassium hydroxide preps Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 1994 Effective Date: January …

Wet mounts, including preparations of vaginal, cervical or skin specimens Short Description: Wet mounts/ w preparations Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: …

Set-up portable x-ray equipment Short Description: Set up port xray equipment Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, 1993 …