HCPCS Code Section: HCPCS Q Codes

Q5002

Hospice or home health care provided in assisted living facility Short Description: Hospice/home hlth in asst lv Coverage Code: Special coverage instructions apply Action Code: No maintenance for this …

Q5001

Hospice or home health care provided in patient’s home/residence Short Description: Hospice or home hlth in home Coverage Code: Special coverage instructions apply Action Code: No maintenance for this …

Q4226

Myown skin, includes harvesting and preparation procedures, per square centimeter Short Description: Myown harv prep proc sq cm Coverage Code: Carrier judgment Action Code: Add procedure or modifier code …

Q4222

Progenamatrix, per square centimeter Short Description: Progenamatrix, per sq cm Coverage Code: Carrier judgment Action Code: Add procedure or modifier code Date Added: October 1, 2019 Effective Date: October …

Q4221

Amniowrap2, per square centimeter Short Description: Amniowrap2 per sq cm Coverage Code: Carrier judgment Action Code: Add procedure or modifier code Date Added: October 1, 2019 Effective Date: October …

Q4220

Bellacell hd or surederm, per square centimeter Short Description: Bellacell hd, surederm sq cm Coverage Code: Carrier judgment Action Code: Add procedure or modifier code Date Added: October 1, …

Q5118

Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg Short Description: Inj., zirabev, 10 mg Coverage Code: Carrier judgment Action Code: Add procedure or modifier code Date Added: October 1, 2019 Effective …

Q5102

Injection, infliximab, biosimilar, 10 mg Short Description: Inj., infliximab biosimilar Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: July 1, 2016 Effective …

Q5117

Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg Short Description: Inj., kanjinti, 10 mg Coverage Code: Carrier judgment Action Code: Add procedure or modifier code Date Added: October 1, 2019 Effective …

Q5116

Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg Short Description: Inj., trazimera, 10 mg Coverage Code: Carrier judgment Action Code: Add procedure or modifier code Date Added: October 1, 2019 Effective …