HCPCS Code Section: HCPCS Q Codes

Axicabtagene ciloleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose Short Description: Axicabtagene ciloleucel car+ Coverage Code: …

Cast supplies, long arm cast, adult (11 years +), plaster Short Description: Cast sup long arm adult plst Coverage Code: Carrier judgment Action Code: No maintenance for this code …

Tisagenlecleucel, up to 250 million car-positive viable t cells, including leukapheresis and dose preparation procedures, per infusion Short Description: Tisagenlecleucel car-pos t Coverage Code: Carrier judgment Action Code: No …

Cast supplies, shoulder cast, adult (11 years +), fiberglass Short Description: Cast sup shoulder cast fbrgl Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: …

Influenza virus vaccine, not otherwise specified Short Description: Influenza virus vaccine, nos Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, …

Cast supplies, shoulder cast, adult (11 years +), plaster Short Description: Cast sup shoulder cast plstr Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: …

Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) Coverage Code: Special coverage instructions apply Action Code: No maintenance …

Cast supplies, body cast adult, with or without head, fiberglass Short Description: Cast sup body cast fiberglas Coverage Code: Carrier judgment Action Code: No maintenance for this code Date …

Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) Coverage Code: Special coverage instructions apply Action Code: No maintenance …

Casting supplies, body cast adult, with or without head, plaster Short Description: Cast sup body cast plaster Coverage Code: Carrier judgment Action Code: No maintenance for this code Date …