HCPCS Code Section: HCPCS Q Codes

Miscellaneous supply or accessory for use with an external ventricular assist device Short Description: Misc sup/acc ext vad Coverage Code: Special coverage instructions apply Action Code: No maintenance for …

Injection, sculptra, 0.5 mg Short Description: Inj, sculptra, 0.5mg Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, 2014 Effective Date: …

Battery, lithium-ion, for use with electric or electric/pneumatic ventricular assist device, replacement only Short Description: Lith-ion batt elec/pneum vad Coverage Code: Special coverage instructions apply Action Code: No maintenance …

Injection, radiesse, 0.1 ml Short Description: Radiesse injection Coverage Code: Special coverage instructions apply Action Code: Payment change (mog, pricing indicator codes, anesthesia base units) Date Added: July 1, …

Injection, teniposide, 50 mg Short Description: Teniposide, 50 mg Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: July 1, 2000 Effective Date: …

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 …

Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg Short Description: Doxorubicin inj 10mg Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: …

Injection, doxorubicin hydrochloride, liposomal, imported lipodox, 10 mg Short Description: Imported lipodox inj Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: July 1, 2012 …

Sipuleucel-t, minimum of 50 million autologous cd54+ cells activated with pap-gm-csf, including leukapheresis and all other preparatory procedures, per infusion Short Description: Sipuleucel-t auto cd54+ Coverage Code: Special coverage …

Tisagenlecleucel, up to 600 million car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose Short Description: Tisagenlecleucel car-pos t Coverage Code: Carrier judgment Action Code: …