HCPCS Code Section: HCPCS Q Codes

Injection, emicizumab-kxwh, 0.5 mg Short Description: Inj., emicizumab-kxwh 0.5 mg Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: July 1, 2018 Effective Date: January …

Netupitant 300 mg and palonosetron 0.5 mg Short Description: Netupitant palonosetron oral Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: July 1, …

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 …