HCPCS Code Section: HCPCS Q Codes
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 …
High osmolar contrast material, 200-249 mg/ml iodine concentration, per ml Short Description: Hocm 200-249mg/ml iodine,1ml Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date …
High osmolar contrast material, 150-199 mg/ml iodine concentration, per ml Short Description: Hocm 150-199mg/ml iodine,1ml Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date …
Injection, buprenorphine extended-release (sublocade), greater than 100 mg Short Description: Buprenorphine xr over 100 mg Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: July …
Injection, factor viii fc fusion protein (recombinant), per iu Short Description: Factor viii fc fusion recomb Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code …
Injection, buprenorphine extended-release (sublocade), less than or equal to 100 mg Short Description: Buprenorph xr 100 mg or less Coverage Code: Carrier judgment Action Code: No maintenance for this …
Ustekinumab, for intravenous injection, 1 mg Short Description: Ustekinumab, iv inject,1 mg Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: July 1, 2017 Effective …