HCPCS Code Section: HCPCS Q Codes

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 …

High osmolar contrast material, 250-299 mg/ml iodine concentration, per ml Short Description: Hocm 250-299mg/ml iodine,1ml Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date …

In-line cartridge containing digestive enzyme(s) for enteral feeding, each Short Description: Enzyme cartridge enteral nut Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: July …

Compounded drug, not otherwise classified Short Description: Compounded drug noc Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: July 1, 2015 Effective …

Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg Short Description: Inj., triamcinolone ext rel Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date …

Injection, ferric pyrophosphate citrate solution, 0.1 mg of iron Short Description: Inj ferric pyrophosphate cit Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: July …