HCPCS Code Section: HCPCS Q Codes

Injection, fosphenytoin, 50 mg phenytoin equivalent Short Description: Fosphenytoin inj pe Coverage Code: Special coverage instructions apply Action Code: Payment change (mog, pricing indicator codes, anesthesia base units) Date …

Irrigation solution for treatment of bladder calculi, for example renacidin, per 500 ml Short Description: Bladder calculi irrig sol Coverage Code: Special coverage instructions apply Action Code: No maintenance …

New technology intraocular lens category 5 as defined in federal register notice Short Description: Ntiol category 5 Coverage Code: Special coverage instructions apply Action Code: No maintenance for this …

New technology intraocular lens category 4 as defined in federal register notice Short Description: Ntiol category 4 Coverage Code: Special coverage instructions apply Action Code: No maintenance for this …

Injection, sermorelin acetate, 1 microgram Short Description: Sermorelin acetate injection Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, 2006 Effective …

Pharmacy dispensing fee for inhalation drug(s); per 90 days Short Description: Disp fee inhal drugs/90 days Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code …

Pharmacy dispensing fee for inhalation drug(s); per 30 days Short Description: Disp fee inhal drugs/30 days Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code …

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Short Description: Px sup fee anti-can sub pres Coverage Code: …

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Short Description: Sup fee antiem,antica,immuno Coverage Code: Special coverage instructions …

Pharmacy supply fee for initial immunosuppressive drug(s), first month following transplant Short Description: Dispens fee immunosupressive Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code …