HCPCS Code Section: HCPCS Q Codes

Chemotherapy administration by other than infusion technique only (e.g., subcutaneous, intramuscular, push), per visit Short Description: Chemo by other than infusion Coverage Code: Carrier judgment Action Code: No maintenance …

Infusion therapy, using other than chemotherapeutic drugs, per visit Short Description: Infusion ther other than che Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code …

Cardiokymography Short Description: Cardiokymography Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, 1989 Effective Date: January 1, 1991 Termination Date:

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 …

Power module patient cable for use with electric or electric/pneumatic ventricular assist device, replacement only Short Description: Pwr module pt cable lvad rpl Coverage Code: Special coverage instructions apply …

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 …

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 …

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 …