HCPCS Code Section: HCPCS Q Codes

Q5005

Hospice care provided in inpatient hospital Short Description: Hospice, inpatient hospital Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, 2007 …

Q5004

Hospice care provided in skilled nursing facility (snf) Short Description: Hospice in snf Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January …

Q5003

Hospice care provided in nursing long term care facility (ltc) or non-skilled nursing facility (nf) Short Description: Hospice in lt/non-skilled nf Coverage Code: Special coverage instructions apply Action Code: …

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 …

Q9953

Injection, iron-based magnetic resonance contrast agent, per ml Short Description: Inj fe-based mr contrast,1ml Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: …

Q5105

Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units Short Description: Inj retacrit esrd on dialysi Coverage Code: Special coverage instructions apply Action Code: Change in long …

Q9951

Low osmolar contrast material, 400 or greater mg/ml iodine concentration, per ml Short Description: Locm >= 400 mg/ml iodine,1ml Coverage Code: Special coverage instructions apply Action Code: No maintenance …

Q5104

Injection, infliximab-abda, biosimilar, (renflexis), 10 mg Short Description: Injection, renflexis Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: April 1, 2018 Effective …