HCPCS Q codes: Temporary codes

536 active HCPCS Level II codes beginning with Q. All sections.

• Q0035 — Cardiokymography
• Q0081 — Infusion therapy, using other than chemotherapeutic drugs, per visit
• Q0083 — Chemotherapy administration by other than infusion technique only (e.g., subcutaneous, intramuscular, push), per visit
• Q0084 — Chemotherapy administration by infusion technique only, per visit
• Q0085 — Chemotherapy administration by both infusion technique and other technique(s) (e.g., subcutaneous, intramuscular, push), per visit
• Q0091 — Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory
• Q0092 — Set-up portable x-ray equipment
• Q0111 — Wet mounts, including preparations of vaginal, cervical or skin specimens
• Q0112 — All potassium hydroxide (koh) preparations
• Q0113 — Pinworm examinations
• Q0114 — Fern test
• Q0115 — Post-coital direct, qualitative examinations of vaginal or cervical mucous
• Q0138 — Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use)
• Q0139 — Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (for esrd on dialysis)
• Q0144 — Azithromycin dihydrate, oral, capsules/powder, 1 gram
• Q0155 — Dronabinol (syndros), 0.1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen
• Q0161 — Chlorpromazine hydrochloride, 5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen
• Q0162 — Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen
• Q0163 — Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen
• Q0164 — Prochlorperazine maleate, 5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen
• Q0166 — Granisetron hydrochloride, 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 24 hour dosage regimen
• Q0167 — Dronabinol, 2.5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen
• Q0169 — Promethazine hydrochloride, 12.5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen
• Q0173 — Trimethobenzamide hydrochloride, 250 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen
• Q0174 — Thiethylperazine maleate, 10 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen
• Q0175 — Perphenazine, 4 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen
• Q0177 — Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen
• Q0180 — Dolasetron mesylate, 100 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 24 hour dosage regimen
• Q0181 — Unspecified oral dosage form, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for a iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen
• Q0224 — Injection, pemivibart, for the pre-exposure prophylaxis only, for certain adults and adolescents (12 years of age and older weighing at least 40 kg) with no known sars-cov-2 exposure, and who either have moderate-to-severe immune compromise due to a medical condition or receipt of immunosuppressive medications or treatments, and are unlikely to mount an adequate immune response to covid-19 vaccination, 4500 mg
• Q0235 — Injection, monoclonal antibody products with an indication for post-exposure prophylaxis or treatment of covid-19, for hospitalized adults and/or pediatric patients who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ECMO) only, not otherwise classified, 1 mg
• Q0237 — Injection, tocilizumab-anoh, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ECMO) only, 1 mg
• Q0249 — Injection, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ECMO) only, 1 mg
• Q0477 — Power module patient cable for use with electric or electric/pneumatic ventricular assist device, replacement only
• Q0478 — Power adapter for use with electric or electric/pneumatic ventricular assist device, vehicle type
• Q0479 — Power module for use with electric or electric/pneumatic ventricular assist device, replacement only
• Q0480 — Driver for use with pneumatic ventricular assist device, replacement only
• Q0481 — Microprocessor control unit for use with electric ventricular assist device, replacement only
• Q0482 — Microprocessor control unit for use with electric/pneumatic combination ventricular assist device, replacement only
• Q0483 — Monitor/display module for use with electric ventricular assist device, replacement only
• Q0484 — Monitor/display module for use with electric or electric/pneumatic ventricular assist device, replacement only
• Q0485 — Monitor control cable for use with electric ventricular assist device, replacement only
• Q0486 — Monitor control cable for use with electric/pneumatic ventricular assist device, replacement only
• Q0487 — Leads (pneumatic/electrical) for use with any type electric/pneumatic ventricular assist device, replacement only
• Q0488 — Power pack base for use with electric ventricular assist device, replacement only
• Q0489 — Power pack base for use with electric/pneumatic ventricular assist device, replacement only
• Q0490 — Emergency power source for use with electric ventricular assist device, replacement only
• Q0491 — Emergency power source for use with electric/pneumatic ventricular assist device, replacement only
• Q0492 — Emergency power supply cable for use with electric ventricular assist device, replacement only
• Q0493 — Emergency power supply cable for use with electric/pneumatic ventricular assist device, replacement only
• Q0494 — Emergency hand pump for use with electric or electric/pneumatic ventricular assist device, replacement only
• Q0495 — Battery/power pack charger for use with electric or electric/pneumatic ventricular assist device, replacement only
• Q0496 — Battery, other than lithium-ion, for use with electric or electric/pneumatic ventricular assist device, replacement only
• Q0497 — Battery clips for use with electric or electric/pneumatic ventricular assist device, replacement only
• Q0498 — Holster for use with electric or electric/pneumatic ventricular assist device, replacement only
• Q0499 — Belt/vest/bag for use to carry external peripheral components of any type ventricular assist device, replacement only
• Q0500 — Filters for use with electric or electric/pneumatic ventricular assist device, replacement only
• Q0501 — Shower cover for use with electric or electric/pneumatic ventricular assist device, replacement only
• Q0502 — Mobility cart for pneumatic ventricular assist device, replacement only
• Q0503 — Battery for pneumatic ventricular assist device, replacement only, each
• Q0504 — Power adapter for pneumatic ventricular assist device, replacement only, vehicle type
• Q0506 — Battery, lithium-ion, for use with electric or electric/pneumatic ventricular assist device, replacement only
• Q0507 — Miscellaneous supply or accessory for use with an external ventricular assist device
• Q0508 — Miscellaneous supply or accessory for use with an implanted ventricular assist device
• Q0509 — Miscellaneous supply or accessory for use with any implanted ventricular assist device for which payment was not made under medicare part a
• Q0510 — Pharmacy supply fee for initial immunosuppressive drug(s), first month following transplant
• Q0511 — Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period
• Q0512 — Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period
• Q0513 — Pharmacy dispensing fee for inhalation drug(s); per 30 days
• Q0514 — Pharmacy dispensing fee for inhalation drug(s); per 90 days
• Q0515 — Injection, sermorelin acetate, 1 microgram
• Q0521 — Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved prescription
• Q1004 — New technology intraocular lens category 4 as defined in federal register notice
• Q1005 — New technology intraocular lens category 5 as defined in federal register notice
• Q2004 — Irrigation solution for treatment of bladder calculi, for example renacidin, per 500 ml
• Q2009 — Injection, fosphenytoin, 50 mg phenytoin equivalent
• Q2017 — Injection, teniposide, 50 mg
• Q2026 — Injection, radiesse, 0.1 ml
• Q2028 — Injection, sculptra, 0.5 mg
• Q2034 — Influenza virus vaccine, split virus, for intramuscular use (agriflu)
• Q2035 — Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria)
• Q2036 — Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval)
• Q2037 — Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin)
• Q2038 — Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone)
• Q2039 — Influenza virus vaccine, not otherwise specified
• Q2041 — Axicabtagene ciloleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose
• Q2042 — Tisagenlecleucel, up to 600 million car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose
• Q2043 — Sipuleucel-t, minimum of 50 million autologous cd54+ cells activated with pap-gm-csf, including leukapheresis and all other preparatory procedures, per infusion
• Q2049 — Injection, doxorubicin hydrochloride, liposomal, imported lipodox, 10 mg
• Q2050 — Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg
• Q2052 — Services, supplies and accessories used in the home for the administration of intravenous immune globulin (IVIG)
• Q2053 — Brexucabtagene autoleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose
• Q2054 — Lisocabtagene maraleucel, up to 110 million autologous anti-cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose
• Q2055 — Idecabtagene vicleucel, up to 510 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose
• Q2056 — Ciltacabtagene autoleucel, up to 100 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose
• Q2057 — Afamitresgene autoleucel, including leukapheresis and dose preparation procedures, per therapeutic dose
• Q2058 — Obecabtagene autoleucel, 10 up to 400 million cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per infusion
• Q3001 — Radioelements for brachytherapy, any type, each
• Q3014 — Telehealth originating site facility fee
• Q3027 — Injection, interferon beta-1a, 1 mcg for intramuscular use
• Q3028 — Injection, interferon beta-1a, 1 mcg for subcutaneous use
• Q3031 — Collagen skin test
• Q4001 — Casting supplies, body cast adult, with or without head, plaster
• Q4002 — Cast supplies, body cast adult, with or without head, fiberglass
• Q4003 — Cast supplies, shoulder cast, adult (11 years +), plaster
• Q4004 — Cast supplies, shoulder cast, adult (11 years +), fiberglass
• Q4005 — Cast supplies, long arm cast, adult (11 years +), plaster
• Q4006 — Cast supplies, long arm cast, adult (11 years +), fiberglass
• Q4007 — Cast supplies, long arm cast, pediatric (0-10 years), plaster
• Q4008 — Cast supplies, long arm cast, pediatric (0-10 years), fiberglass
• Q4009 — Cast supplies, short arm cast, adult (11 years +), plaster
• Q4010 — Cast supplies, short arm cast, adult (11 years +), fiberglass
• Q4011 — Cast supplies, short arm cast, pediatric (0-10 years), plaster
• Q4012 — Cast supplies, short arm cast, pediatric (0-10 years), fiberglass
• Q4013 — Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), plaster
• Q4014 — Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), fiberglass
• Q4015 — Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), plaster
• Q4016 — Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), fiberglass
• Q4017 — Cast supplies, long arm splint, adult (11 years +), plaster
• Q4018 — Cast supplies, long arm splint, adult (11 years +), fiberglass
• Q4019 — Cast supplies, long arm splint, pediatric (0-10 years), plaster
• Q4020 — Cast supplies, long arm splint, pediatric (0-10 years), fiberglass
• Q4021 — Cast supplies, short arm splint, adult (11 years +), plaster
• Q4022 — Cast supplies, short arm splint, adult (11 years +), fiberglass
• Q4023 — Cast supplies, short arm splint, pediatric (0-10 years), plaster
• Q4024 — Cast supplies, short arm splint, pediatric (0-10 years), fiberglass
• Q4025 — Cast supplies, hip spica (one or both legs), adult (11 years +), plaster
• Q4026 — Cast supplies, hip spica (one or both legs), adult (11 years +), fiberglass
• Q4027 — Cast supplies, hip spica (one or both legs), pediatric (0-10 years), plaster
• Q4028 — Cast supplies, hip spica (one or both legs), pediatric (0-10 years), fiberglass
• Q4029 — Cast supplies, long leg cast, adult (11 years +), plaster
• Q4030 — Cast supplies, long leg cast, adult (11 years +), fiberglass
• Q4031 — Cast supplies, long leg cast, pediatric (0-10 years), plaster
• Q4032 — Cast supplies, long leg cast, pediatric (0-10 years), fiberglass
• Q4033 — Cast supplies, long leg cylinder cast, adult (11 years +), plaster
• Q4034 — Cast supplies, long leg cylinder cast, adult (11 years +), fiberglass
• Q4035 — Cast supplies, long leg cylinder cast, pediatric (0-10 years), plaster
• Q4036 — Cast supplies, long leg cylinder cast, pediatric (0-10 years), fiberglass
• Q4037 — Cast supplies, short leg cast, adult (11 years +), plaster
• Q4038 — Cast supplies, short leg cast, adult (11 years +), fiberglass
• Q4039 — Cast supplies, short leg cast, pediatric (0-10 years), plaster
• Q4040 — Cast supplies, short leg cast, pediatric (0-10 years), fiberglass
• Q4041 — Cast supplies, long leg splint, adult (11 years +), plaster
• Q4042 — Cast supplies, long leg splint, adult (11 years +), fiberglass
• Q4043 — Cast supplies, long leg splint, pediatric (0-10 years), plaster
• Q4044 — Cast supplies, long leg splint, pediatric (0-10 years), fiberglass
• Q4045 — Cast supplies, short leg splint, adult (11 years +), plaster
• Q4046 — Cast supplies, short leg splint, adult (11 years +), fiberglass
• Q4047 — Cast supplies, short leg splint, pediatric (0-10 years), plaster
• Q4048 — Cast supplies, short leg splint, pediatric (0-10 years), fiberglass
• Q4049 — Finger splint, static
• Q4050 — Cast supplies, for unlisted types and materials of casts
• Q4051 — Splint supplies, miscellaneous (includes thermoplastics, strapping, fasteners, padding and other supplies)
• Q4074 — Iloprost, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 20 micrograms
• Q4081 — Injection, epoetin alfa, 100 units (for esrd on dialysis)
• Q4082 — Drug or biological, not otherwise classified, part b drug competitive acquisition program (cap)
• Q4100 — Skin substitute, not otherwise specified
• Q4101 — Apligraf, per square centimeter
• Q4102 — Oasis wound matrix, per square centimeter
• Q4103 — Oasis burn matrix, per square centimeter
• Q4104 — Integra bilayer matrix wound dressing (bmwd), per square centimeter
• Q4105 — Integra dermal regeneration template (drt) or integra omnigraft dermal regeneration matrix, per square centimeter
• Q4106 — Dermagraft, per square centimeter
• Q4107 — Graftjacket, per square centimeter
• Q4108 — Integra matrix, per square centimeter
• Q4110 — Primatrix, per square centimeter
• Q4111 — Gammagraft, per square centimeter
• Q4112 — Cymetra, injectable, 1 cc
• Q4113 — Graftjacket xpress, injectable, 1 cc
• Q4114 — Integra flowable wound matrix, injectable, 1 cc
• Q4115 — Alloskin, per square centimeter
• Q4116 — Alloderm, per square centimeter
• Q4117 — Hyalomatrix, per square centimeter
• Q4118 — Matristem micromatrix, 1 mg
• Q4121 — Theraskin, per square centimeter
• Q4122 — Dermacell, dermacell awm or dermacell awm porous, per square centimeter
• Q4123 — Alloskin rt, per square centimeter
• Q4124 — Oasis ultra tri-layer wound matrix, per square centimeter
• Q4125 — Arthroflex, per square centimeter
• Q4126 — Memoderm, dermaspan, tranzgraft or integuply, per square centimeter
• Q4127 — Talymed, per square centimeter
• Q4128 — Flex hd, or allopatch hd, per square centimeter
• Q4130 — Strattice tm, per square centimeter
• Q4132 — Grafix core and grafixpl core, per square centimeter
• Q4133 — Grafix prime, grafixpl prime, stravix and stravixpl, per square centimeter
• Q4134 — Hmatrix, per square centimeter
• Q4135 — Mediskin, per square centimeter
• Q4136 — Ez-derm, per square centimeter
• Q4137 — Amnioexcel, amnioexcel plus or biodexcel, per square centimeter
• Q4138 — Biodfence dryflex, per square centimeter
• Q4139 — Amniomatrix or biodmatrix, injectable, 1 cc
• Q4140 — Biodfence, per square centimeter
• Q4141 — Alloskin ac, per square centimeter
• Q4142 — Xcm biologic tissue matrix, per square centimeter
• Q4143 — Repriza, per square centimeter
• Q4145 — Epifix, injectable, 1 mg
• Q4146 — Tensix, per square centimeter
• Q4147 — Architect, architect px, or architect fx, extracellular matrix, per square centimeter
• Q4148 — Neox cord 1k, neox cord rt, or clarix cord 1k, per square centimeter
• Q4149 — Excellagen, 0.1 cc
• Q4150 — Allowrap ds or dry, per square centimeter
• Q4151 — Amnioband or guardian, per square centimeter
• Q4152 — Dermapure, per square centimeter
• Q4153 — Dermavest and plurivest, per square centimeter
• Q4154 — Biovance, per square centimeter
• Q4155 — Neoxflo or clarixflo, 1 mg
• Q4156 — Neox 100 or clarix 100, per square centimeter
• Q4157 — Revitalon, per square centimeter
• Q4158 — Kerecis omega3, per square centimeter
• Q4159 — Affinity, per square centimeter
• Q4160 — Nushield, per square centimeter
• Q4161 — Bio-connekt wound matrix, per square centimeter
• Q4162 — Woundex flow, bioskin flow, 0.5 cc
• Q4163 — Woundex, bioskin, per square centimeter
• Q4164 — Helicoll, per square centimeter
• Q4165 — Keramatrix or kerasorb, per square centimeter
• Q4166 — Cytal, per square centimeter
• Q4167 — Truskin, per square centimeter
• Q4168 — Amnioband, 1 mg
• Q4169 — Artacent wound, per square centimeter
• Q4170 — Cygnus, per square centimeter
• Q4171 — Interfyl, 1 mg
• Q4173 — Palingen or palingen xplus, per square centimeter
• Q4174 — Palingen or promatrx, 0.36 mg per 0.25 cc
• Q4175 — Miroderm, per square centimeter
• Q4176 — Neopatch or therion, per square centimeter
• Q4177 — Floweramnioflo, 0.1 cc
• Q4178 — Floweramniopatch, per square centimeter
• Q4179 — Flowerderm, per square centimeter
• Q4180 — Revita, per square centimeter
• Q4181 — Amnio wound, per square centimeter
• Q4182 — Transcyte, per square centimeter
• Q4183 — Surgigraft, per square centimeter
• Q4184 — Cellesta or cellesta duo, per square centimeter
• Q4185 — Cellesta flowable amnion (25 mg per cc); per 0.5 cc
• Q4186 — Epifix, per square centimeter
• Q4187 — Epicord, per square centimeter
• Q4188 — Amnioarmor, per square centimeter
• Q4189 — Artacent ac, 1 mg
• Q4190 — Artacent ac, per square centimeter
• Q4191 — Restorigin, per square centimeter
• Q4192 — Restorigin, 1 cc
• Q4193 — Coll-e-derm, per square centimeter
• Q4194 — Novachor, per square centimeter
• Q4195 — Puraply, per square centimeter
• Q4196 — Puraply am, per square centimeter
• Q4197 — Puraply xt, per square centimeter
• Q4198 — Genesis amniotic membrane, per square centimeter
• Q4199 — Cygnus matrix, per square centimeter
• Q4200 — Skin te, per square centimeter
• Q4201 — Matrion, per square centimeter
• Q4202 — Keroxx (2.5g/cc), 1cc
• Q4203 — Derma-gide, per square centimeter
• Q4204 — Xwrap, per square centimeter
• Q4205 — Membrane graft or membrane wrap, per square centimeter
• Q4206 — Fluid flow or fluid gf, 1 cc
• Q4208 — Novafix, per square cenitmeter
• Q4209 — Surgraft, per square centimeter
• Q4211 — Amnion bio or axobiomembrane, per square centimeter
• Q4212 — Allogen, per cc
• Q4213 — Ascent, 0.5 mg
• Q4214 — Cellesta cord, per square centimeter
• Q4215 — Axolotl ambient or axolotl cryo, 0.1 mg
• Q4216 — Artacent cord, per square centimeter
• Q4217 — Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter
• Q4218 — Surgicord, per square centimeter
• Q4219 — Surgigraft-dual, per square centimeter
• Q4220 — Bellacell hd or surederm, per square centimeter
• Q4221 — Amniowrap2, per square centimeter
• Q4222 — Progenamatrix, per square centimeter
• Q4224 — Human health factor 10 amniotic patch (hhf10-p), per square centimeter
• Q4225 — Amniobind or dermabind tl, per square centimeter
• Q4226 — Myown skin, includes harvesting and preparation procedures, per square centimeter
• Q4227 — Amniocore, per square centimeter
• Q4229 — Cogenex amniotic membrane, per square centimeter
• Q4230 — Cogenex flowable amnion, per 0.5 cc
• Q4232 — Corplex, per square centimeter
• Q4233 — Surfactor or nudyn, per 0.5 cc
• Q4234 — Xcellerate, per square centimeter
• Q4235 — Amniorepair or altiply, per square centimeter
• Q4236 — Carepatch, per square centimeter
• Q4237 — Cryo-cord, per square centimeter
• Q4238 — Derm-maxx, per square centimeter
• Q4239 — Amnio-maxx or amnio-maxx lite, per square centimeter
• Q4240 — Corecyte, for topical use only, per 0.5 cc
• Q4241 — Polycyte, for topical use only, per 0.5 cc
• Q4242 — Amniocyte plus, per 0.5 cc
• Q4245 — Amniotext, per cc
• Q4246 — Coretext or protext, per cc
• Q4247 — Amniotext patch, per square centimeter
• Q4248 — Dermacyte amniotic membrane allograft, per square centimeter
• Q4249 — Amniply, for topical use only, per square centimeter
• Q4250 — Amnioamp-mp, per square centimeter
• Q4251 — Vim, per square centimeter
• Q4252 — Vendaje, per square centimeter
• Q4253 — Zenith amniotic membrane, per square centimeter
• Q4254 — Novafix dl, per square centimeter
• Q4255 — Reguard, for topical use only, per square centimeter
• Q4256 — Mlg-complete, per square centimeter
• Q4257 — Relese, per square centimeter
• Q4258 — Enverse, per square centimeter
• Q4259 — Celera dual layer or celera dual membrane, per square centimeter
• Q4260 — Signature apatch, per square centimeter
• Q4261 — Tag, per square centimeter
• Q4262 — Dual layer impax membrane, per square centimeter
• Q4263 — Surgraft tl, per square centimeter
• Q4264 — Cocoon membrane, per square centimeter
• Q4265 — Neostim tl, per square centimeter
• Q4266 — Neostim membrane, per square centimeter
• Q4267 — Neostim dl, per square centimeter
• Q4268 — Surgraft ft, per square centimeter
• Q4269 — Surgraft xt, per square centimeter
• Q4270 — Complete sl, per square centimeter
• Q4271 — Complete ft, per square centimeter
• Q4272 — Esano a, per square centimeter
• Q4273 — Esano aaa, per square centimeter
• Q4274 — Esano ac, per square centimeter
• Q4275 — Esano aca, per square centimeter
• Q4276 — Orion, per square centimeter
• Q4278 — Epieffect, per square centimeter
• Q4279 — Vendaje ac, per square centimeter
• Q4280 — Xcell amnio matrix, per square centimeter
• Q4281 — Barrera sl or barrera dl, per square centimeter
• Q4282 — Cygnus dual, per square centimeter
• Q4283 — Biovance tri-layer or biovance 3l, per square centimeter
• Q4284 — Dermabind sl, per square centimeter
• Q4285 — Nudyn dl or nudyn dl mesh, per square centimeter
• Q4286 — Nudyn sl or nudyn slw, per square centimeter
• Q4287 — Dermabind dl, per square centimeter
• Q4288 — Dermabind ch, per square centimeter
• Q4289 — Revoshield + amniotic barrier, per square centimeter
• Q4290 — Membrane wrap-hydro, per square centimeter
• Q4291 — Lamellas xt, per square centimeter
• Q4292 — Lamellas, per square centimeter
• Q4293 — Acesso dl, per square centimeter
• Q4294 — Amnio quad-core, per square centimeter
• Q4295 — Amnio tri-core amniotic, per square centimeter
• Q4296 — Rebound matrix, per square centimeter
• Q4297 — Emerge matrix, per square centimeter
• Q4298 — Amnicore pro, per square centimeter
• Q4299 — Amnicore pro+, per square centimeter
• Q4300 — Acesso tl, per square centimeter
• Q4301 — Activate matrix, per square centimeter
• Q4302 — Complete aca, per square centimeter
• Q4303 — Complete aa, per square centimeter
• Q4304 — Grafix plus, per square centimeter
• Q4305 — American amnion ac tri-layer, per square centimeter
• Q4306 — American amnion ac, per square centimeter
• Q4307 — American amnion, per square centimeter
• Q4308 — Sanopellis, per square centimeter
• Q4309 — Via matrix, per square centimeter
• Q4310 — Procenta, per 100 mg
• Q4311 — Acesso, per square centimeter
• Q4312 — Acesso ac, per square centimeter
• Q4313 — Dermabind fm, per square centimeter
• Q4314 — Reeva ft, per square cenitmeter
• Q4315 — Regenelink amniotic membrane allograft, per square centimeter
• Q4316 — Amchoplast, per square centimeter
• Q4317 — Vitograft, per square centimeter
• Q4318 — E-graft, per square centimeter
• Q4319 — Sanograft, per square centimeter
• Q4320 — Pellograft, per square centimeter
• Q4321 — Renograft, per square centimeter
• Q4322 — Caregraft, per square centimeter
• Q4323 — Alloply, per square centimeter
• Q4324 — Amniotx, per square centimeter
• Q4325 — Acapatch, per square centimeter
• Q4326 — Woundplus, per square centimeter
• Q4327 — Duoamnion, per square centimeter
• Q4328 — Most, per square centimeter
• Q4329 — Singlay, per square centimeter
• Q4330 — Total, per square centimeter
• Q4331 — Axolotl graft, per square centimeter
• Q4332 — Axolotl dualgraft, per square centimeter
• Q4333 — Ardeograft, per square centimeter
• Q4334 — Amnioplast 1, per square centimeter
• Q4335 — Amnioplast 2, per square centimeter
• Q4336 — Artacent c, per square centimeter
• Q4337 — Artacent trident, per square centimeter
• Q4338 — Artacent velos, per square centimeter
• Q4339 — Artacent vericlen, per square centimeter
• Q4340 — Simpligraft, per square centimeter
• Q4341 — Simplimax, per square centimeter
• Q4342 — Theramend, per square centimeter
• Q4343 — Dermacyte ac matrix amniotic membrane allograft, per square centimeter
• Q4344 — Tri-membrane wrap, per square centimeter
• Q4345 — Matrix hd allograft dermis, per square centimeter
• Q4346 — Shelter dm matrix, per square centimeter
• Q4347 — Rampart dl matrix, per square centimeter
• Q4348 — Sentry sl matrix, per square centimeter
• Q4349 — Mantle dl matrix, per square centimeter
• Q4350 — Palisade dm matrix, per square centimeter
• Q4351 — Enclose tl matrix, per square centimeter
• Q4352 — Overlay sl matrix, per square centimeter
• Q4353 — Xceed tl matrix, per square centimeter
• Q4354 — Palingen dual-layer membrane, per square centimeter
• Q4355 — Abiomend xplus membrane and abiomend xplus hydromembrane, per square centimeter
• Q4356 — Abiomend membrane and abiomend hydromembrane, per square centimeter
• Q4357 — Xwrap plus, per square centimeter
• Q4358 — Xwrap dual, per square centimeter
• Q4359 — Choriply, per square centimeter
• Q4360 — Amchoplast fd, per square centimeter
• Q4361 — Epixpress, per square centimeter
• Q4362 — Cygnus disk, per square centimeter
• Q4363 — Amnio burgeon membrane and hydromembrane, per square centimeter
• Q4364 — Amnio burgeon xplus membrane and xplus hydromembrane, per square centimeter
• Q4365 — Amnio burgeon dual-layer membrane, per square centimeter
• Q4366 — Dual layer amnio burgeon x-membrane, per square centimeter
• Q4367 — Amniocore sl, per square centimeter
• Q4368 — Amchothick, per square centimeter
• Q4369 — Amnioplast 3, per square centimeter
• Q4370 — Aeroguard, per square centimeter
• Q4371 — Neoguard, per square centimeter
• Q4372 — Amchoplast excel, per square centimeter
• Q4373 — Membrane wrap lite, per square centimeter
• Q4375 — Duograft ac, per square centimeter
• Q4376 — Duograft aa, per square centimeter
• Q4377 — Trigraft ft, per square centimeter
• Q4378 — Renew ft matrix, per square centimeter
• Q4379 — Amniodefend ft matrix, per square centimeter
• Q4380 — Advograft one, per square centimeter
• Q4382 — Advograft dual, per square centimeter
• Q4383 — Axolotl graft ultra, per square centimeter
• Q4384 — Axolotl dualgraft ultra, per square centimeter
• Q4385 — Apollo ft, per square centimeter
• Q4386 — Acesso trifaca, per square centimeter
• Q4387 — Neothelium ft, per square centimeter
• Q4388 — Neothelium 4l, per square centimeter
• Q4389 — Neothelium 4l+, per square centimeter
• Q4390 — Ascendion, per square centimeter
• Q4391 — Amnioplast double, per square centimeter
• Q4392 — Grafix duo, per square centimeter
• Q4393 — Surgraft ac, per square centimeter
• Q4394 — Surgraft aca, per square centimeter
• Q4395 — Acelagraft, per square centimeter
• Q4396 — Natalin, per square centimeter
• Q4397 — Summit aaa, per square centimeter
• Q5001 — Hospice or home health care provided in patient's home/residence
• Q5002 — Hospice or home health care provided in assisted living facility
• Q5003 — Hospice care provided in nursing long term care facility (ltc) or non-skilled nursing facility (nf)
• Q5004 — Hospice care provided in skilled nursing facility (snf)
• Q5005 — Hospice care provided in inpatient hospital
• Q5006 — Hospice care provided in inpatient hospice facility
• Q5007 — Hospice care provided in long term care facility
• Q5008 — Hospice care provided in inpatient psychiatric facility
• Q5009 — Hospice or home health care provided in place not otherwise specified (nos)
• Q5010 — Hospice home care provided in a hospice facility
• Q5098 — Injection, ustekinumab-srlf (imuldosa), biosimilar, 1 mg
• Q5099 — Injection, ustekinumab-stba (steqeyma), biosimilar, 1 mg
• Q5100 — Injection, ustekinumab-kfce (yesintek), biosimilar, 1 mg
• Q5101 — Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram
• Q5103 — Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg
• Q5104 — Injection, infliximab-abda, biosimilar, (renflexis), 10 mg
• Q5105 — Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units
• Q5106 — Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units
• Q5107 — Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg
• Q5108 — Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg
• Q5109 — Injection, infliximab-qbtx, biosimilar, (ixifi), 10 mg
• Q5110 — Injection, filgrastim-aafi, biosimilar, (nivestym), 1 microgram
• Q5111 — Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg
• Q5112 — Injection, trastuzumab-dttb, biosimilar, (ontruzant), 10 mg
• Q5113 — Injection, trastuzumab-pkrb, biosimilar, (herzuma), 10 mg
• Q5114 — Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg
• Q5115 — Injection, rituximab-abbs, biosimilar, (truxima), 10 mg
• Q5116 — Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg
• Q5117 — Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg
• Q5118 — Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg
• Q5119 — Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg
• Q5120 — Injection, pegfilgrastim-bmez (ziextenzo), biosimilar, 0.5 mg
• Q5121 — Injection, infliximab-axxq, biosimilar, (avsola), 10 mg
• Q5122 — Injection, pegfilgrastim-apgf (nyvepria), biosimilar, 0.5 mg
• Q5123 — Injection, rituximab-arrx, biosimilar, (riabni), 10 mg
• Q5124 — Injection, ranibizumab-nuna, biosimilar, (byooviz), 0.1 mg
• Q5125 — Injection, filgrastim-ayow, biosimilar, (releuko), 1 microgram
• Q5126 — Injection, bevacizumab-maly, biosimilar, (alymsys), 10 mg
• Q5127 — Injection, pegfilgrastim-fpgk (stimufend), biosimilar, 0.5 mg
• Q5128 — Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg
• Q5129 — Injection, bevacizumab-adcd (vegzelma), biosimilar, 10 mg
• Q5130 — Injection, pegfilgrastim-pbbk (fylnetra), biosimilar, 0.5 mg
• Q5133 — Injection, tocilizumab-bavi (tofidence), biosimilar, 1 mg
• Q5134 — Injection, natalizumab-sztn (tyruko), biosimilar, 1 mg
• Q5135 — Injection, tocilizumab-aazg (tyenne), biosimilar, 1 mg
• Q5136 — Injection, denosumab-bbdz (jubbonti/wyost), biosimilar, 1 mg
• Q5137 — Injection, ustekinumab-auub (wezlana), biosimilar, subcutaneous, 1 mg
• Q5138 — Injection, ustekinumab-auub (wezlana), biosimilar, intravenous, 1 mg
• Q5140 — Injection, adalimumab-fkjp, biosimilar, 1 mg
• Q5141 — Injection, adalimumab-aaty, biosimilar, 1 mg
• Q5142 — Injection, adalimumab-ryvk biosimilar, 1 mg
• Q5143 — Injection, adalimumab-adbm, biosimilar, 1 mg
• Q5144 — Injection, adalimumab-aacf (idacio), biosimilar, 1 mg
• Q5145 — Injection, adalimumab-afzb (abrilada), biosimilar, 1 mg
• Q5146 — Injection, trastuzumab-strf (hercessi), biosimilar, 10 mg
• Q5147 — Injection, aflibercept-ayyh (pavblu), biosimilar, 1 mg
• Q5148 — Injection, filgrastim-txid (nypozi), biosimilar, 1 microgram
• Q5149 — Injection, aflibercept-abzv (enzeevu), biosimilar, 1 mg
• Q5150 — Injection, aflibercept-mrbb (ahzantive), biosimilar, 1 mg
• Q5151 — Injection, eculizumab-aagh (epysqli), biosimilar, 2 mg
• Q5152 — Injection, eculizumab-aeeb (bkemv), biosimilar, 2 mg
• Q5153 — Injection, aflibercept-yszy (opuviz), biosimilar, 1 mg
• Q5154 — Injection, omalizumab-igec (omlyclo), biosimilar, 5 mg
• Q5155 — Injection, aflibercept-jbvf (yesafili), biosimilar, 1 mg
• Q5156 — Injection, tocilizumab-anoh (avtozma), biosimilar, 1 mg
• Q5157 — Injection, denosumab-bmwo (stoboclo/osenvelt), biosimilar, 1 mg
• Q5158 — Injection, denosumab-bnht (bomyntra/conexxence), biosimilar, 1 mg
• Q5159 — Injection, denosumab-dssb (ospomyv/xbryk), biosimilar, 1 mg
• Q9001 — Assessment by chaplain services
• Q9002 — Counseling, individual, by chaplain services
• Q9003 — Counseling, group, by chaplain services
• Q9004 — Department of veterans affairs whole health partner services
• Q9950 — Injection, sulfur hexafluoride lipid microspheres, per ml
• Q9951 — Low osmolar contrast material, 400 or greater mg/ml iodine concentration, per ml
• Q9953 — Injection, iron-based magnetic resonance contrast agent, per ml
• Q9954 — Oral magnetic resonance contrast agent, per 100 ml
• Q9955 — Injection, perflexane lipid microspheres, per ml
• Q9956 — Injection, octafluoropropane microspheres, per ml
• Q9957 — Injection, perflutren lipid microspheres, per ml
• Q9958 — High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml
• Q9959 — High osmolar contrast material, 150-199 mg/ml iodine concentration, per ml
• Q9960 — High osmolar contrast material, 200-249 mg/ml iodine concentration, per ml
• Q9961 — High osmolar contrast material, 250-299 mg/ml iodine concentration, per ml
• Q9962 — High osmolar contrast material, 300-349 mg/ml iodine concentration, per ml
• Q9963 — High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml
• Q9964 — High osmolar contrast material, 400 or greater mg/ml iodine concentration, per ml
• Q9965 — Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml
• Q9966 — Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml
• Q9967 — Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml
• Q9968 — Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg
• Q9969 — Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose
• Q9982 — Flutemetamol f18, diagnostic, per study dose, up to 5 millicuries
• Q9983 — Florbetaben f18, diagnostic, per study dose, up to 8.1 millicuries
• Q9991 — Injection, buprenorphine extended-release (sublocade), less than or equal to 100 mg
• Q9992 — Injection, buprenorphine extended-release (sublocade), greater than 100 mg
• Q9996 — Injection, ustekinumab-ttwe (pyzchiva), subcutaneous, 1 mg
• Q9997 — Injection, ustekinumab-ttwe (pyzchiva), intravenous, 1 mg
• Q9998 — Injection, ustekinumab-aekn (selarsdi), biosimilar, 1 mg
• Q9999 — Injection, ustekinumab-aauz (otulfi), biosimilar, 1 mg