Q0085 HCPCS code: Chemotherapy administration by both infusion technique and other technique(s) (e.g., subcutaneous, intramuscular, push), per visit
Q0085 is the HCPCS Level II code for chemotherapy administration by both infusion technique and other technique(s) (e.g., subcutaneous, intramuscular, push), per visit. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. The NCCI unit limit is 2 per day on outpatient hospital claims.
Code details
| Field | Value |
|---|---|
| Section | Q codes — Temporary codes |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 00 — Not separately priced by Medicare |
| BETOS category | O1D — Chemotherapy |
| Added | 1992-01-01 |
| Last action effective | 1996-01-01 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 2 | Code Descriptor / CPT Instruction |
| practitioner claims | 1 | Code Descriptor / CPT Instruction |
What changed for Q0085
- 1992-01-01: Q0085 added to HCPCS Level II
- Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01
Frequently asked questions
What is HCPCS code Q0085?
Q0085 is the HCPCS Level II code for chemotherapy administration by both infusion technique and other technique(s) (e.g., subcutaneous, intramuscular, push), per visit. Short descriptor: "Chemo by both infusion and o".
Does Medicare cover Q0085?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
How many units of Q0085 can be billed per day?
2 on outpatient hospital claims; 1 on practitioner claims (NCCI medically unlikely edits).
Related Q00 codes
- 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
- Q0091 — Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory
- Q0092 — Set-up portable x-ray equipment
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Next steps
- Run a reimbursement report for a device billed under Q0085
- Watch Q0085 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for Q0085
Sources: CMS HCPCS Level II release October 2025; CMS DMEPOS fee schedule; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.