HCPCS Code Section: HCPCS Q Codes

Injection, ferric carboxymaltose, 1mg Short Description: Inj ferric carboxymaltos 1mg Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: July 1, 2014 Effective Date: January …

Oral magnetic resonance contrast agent, per 100 ml Short Description: Oral mr contrast, 100 ml Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date …

Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose Short Description: Non-heu tc-99m add-on/dose Coverage Code: Special coverage instructions apply Action Code: No maintenance for …

Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg Short Description: Visualization adjunct Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: …

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Short Description: Locm 300-399mg/ml iodine,1ml Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date …

Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml Short Description: Locm 200-299mg/ml iodine,1ml Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date …

Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml Short Description: Locm 100-199mg/ml iodine,1ml Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date …

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

High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml Short Description: Hocm 350-399mg/ml iodine,1ml Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date …

High osmolar contrast material, 300-349 mg/ml iodine concentration, per ml Short Description: Hocm 300-349mg/ml iodine,1ml Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date …