HCPCS Code Section: HCPCS Q Codes

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 …

Platelets, pheresis, pathogen-reduced, each unit Short Description: Platelets, pathogen reduced Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: July 1, 2017 Effective …

Pathogen(s) test for platelets Short Description: Pathogen test for platelets Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: July 1, 2017 Effective …

Injection, hydroxyprogesterone caproate, (makena), 10 mg Short Description: Makena, 10 mg Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: July 1, 2017 Effective Date: …

Injection, hydroxyprogesterone caproate, not otherwise specified, 10 mg Short Description: Inj hydroxyprogst capoat nos Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: July 1, …

Levonorgestrel-releasing intrauterine contraceptive system (kyleena), 19.5 mg Short Description: Kyleena, 19.5 mg Coverage Code: Non-covered by Medicare statute Action Code: No maintenance for this code Date Added: July 1, …