Medical Billing Code Search
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8892 results found
| P9058 | Rbc, l/r, cmv-neg, irrad | Description: Red blood cells, leukocytes reduced, cmv-negative, irradiated, each unit |
| P9059 | Plasma, frz between 8-24hour | Description: Fresh frozen plasma between 8-24 hours of collection, each unit |
| P9060 | Fr frz plasma donor retested | Description: Fresh frozen plasma, donor retested, each unit |
| P9070 | Pathogen reduced plasma pool | Description: Plasma, pooled multiple donor, pathogen reduced, frozen, each unit |
| P9071 | Pathogen reduced plasma sing | Description: Plasma (single donor), pathogen reduced, frozen, each unit |
| P9073 | Platelets pheresis path redu | Description: Platelets, pheresis, pathogen-reduced, each unit |
| P9099 | Blood component/product noc | Description: Blood component or product not otherwise classified |
| P9100 | Pathogen test for platelets | Description: Pathogen(s) test for platelets |
| P9603 | One-way allow prorated miles | Description: Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled |
| P9604 | One-way allow prorated trip | Description: Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge |
| P9612 | Catheterize for urine spec | Description: Catheterization for collection of specimen, single patient, all places of service |
| P9615 | Urine specimen collect mult | Description: Catheterization for collection of specimen(s) (multiple patients) |
| Q0035 | Cardiokymography | Description: Cardiokymography |
| Q0081 | Infusion ther other than che | Description: Infusion therapy, using other than chemotherapeutic drugs, per visit |
| Q0083 | Chemo by other than infusion | Description: Chemotherapy administration by other than infusion technique only (e.g., subcutaneous, intramuscular, push), per visit |
| Q0084 | Chemotherapy by infusion | Description: Chemotherapy administration by infusion technique only, per visit |
| Q0085 | Chemo by both infusion and o | Description: Chemotherapy administration by both infusion technique and other technique(s) (e.g., subcutaneous, intramuscular, push), per visit |
| Q0091 | Obtaining screen pap smear | Description: Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
| Q0092 | Set up port xray equipment | Description: Set-up portable x-ray equipment |
| Q0111 | Wet mounts/ w preparations | Description: Wet mounts, including preparations of vaginal, cervical or skin specimens |
| Q0112 | Potassium hydroxide preps | Description: All potassium hydroxide (koh) preparations |
| Q0113 | Pinworm examinations | Description: Pinworm examinations |
| Q0114 | Fern test | Description: Fern test |
| Q0115 | Post-coital mucous exam | Description: Post-coital direct, qualitative examinations of vaginal or cervical mucous |
| Q0138 | Ferumoxytol, non-esrd | Description: Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) |
| Q0139 | Ferumoxytol, esrd use | Description: Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (for esrd on dialysis) |
| Q0144 | Azithromycin dihydrate, oral | Description: Azithromycin dihydrate, oral, capsules/powder, 1 gram |
| Q0161 | Chlorpromazine hcl 5mg oral | Description: 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 oral | Description: 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 hcl 50mg | Description: 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 5mg | Description: 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 hcl 1 mg oral | Description: 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 2.5mg oral | Description: 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 hcl 12.5mg oral | Description: 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 hcl 250mg | Description: 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 maleate10mg | Description: 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 4mg oral | Description: 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 25mg | Description: 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 oral | Description: 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 anti-emetic | Description: 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 |
| Q0220 | Tixagev and cilgav, 300mg | Description: Injection, tixagevimab and cilgavimab, for the pre-exposure prophylaxis only, for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) with no known sars-cov-2 exposure, who either have moderate to severely compromised immune systems or for whom vaccination with any available covid-19 vaccine is not recommended due to a history of severe adverse reaction to a covid-19 vaccine(s) and/or covid-19 vaccine component(s), 300 mg |
| Q0221 | Tixagev and cilgav, 600mg | Description: Injection, tixagevimab and cilgavimab, for the pre-exposure prophylaxis only, for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) with no known sars-cov-2 exposure, who either have moderate to severely compromised immune systems or for whom vaccination with any available covid-19 vaccine is not recommended due to a history of severe adverse reaction to a covid-19 vaccine(s) and/or covid-19 vaccine component(s), 600 mg |
| Q0222 | Bebtelovimab 175 mg | Description: Injection, bebtelovimab, 175 mg |
| Q0240 | Casirivi and imdevi 600 mg | Description: Injection, casirivimab and imdevimab, 600 mg |
| Q0243 | Casirivimab and imdevimab | Description: Injection, casirivimab and imdevimab, 2400 mg |
| Q0244 | Casirivi and imdevi 1200 mg | Description: Injection, casirivimab and imdevimab, 1200 mg |
| Q0245 | Bamlanivimab and etesevima | Description: Injection, bamlanivimab and etesevimab, 2100 mg |
| Q0247 | Sotrovimab | Description: Injection, sotrovimab, 500 mg |
| Q0249 | Tocilizumab for covid-19 | Description: 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 | Pwr module pt cable lvad rpl | Description: Power module patient cable for use with electric or electric/pneumatic ventricular assist device, replacement only |
| Q0478 | Power adapter, combo vad | Description: Power adapter for use with electric or electric/pneumatic ventricular assist device, vehicle type |
| Q0479 | Power module combo vad, rep | Description: Power module for use with electric or electric/pneumatic ventricular assist device, replacement only |
| Q0480 | Driver pneumatic vad, rep | Description: Driver for use with pneumatic ventricular assist device, replacement only |
| Q0481 | Microprcsr cu elec vad, rep | Description: Microprocessor control unit for use with electric ventricular assist device, replacement only |
| Q0482 | Microprcsr cu combo vad, rep | Description: Microprocessor control unit for use with electric/pneumatic combination ventricular assist device, replacement only |
| Q0483 | Monitor elec vad, rep | Description: Monitor/display module for use with electric ventricular assist device, replacement only |
| Q0484 | Monitor elec or comb vad rep | Description: Monitor/display module for use with electric or electric/pneumatic ventricular assist device, replacement only |
| Q0485 | Monitor cable elec vad, rep | Description: Monitor control cable for use with electric ventricular assist device, replacement only |
| Q0486 | Mon cable elec/pneum vad rep | Description: Monitor control cable for use with electric/pneumatic ventricular assist device, replacement only |
| Q0487 | Leads any type vad, rep only | Description: Leads (pneumatic/electrical) for use with any type electric/pneumatic ventricular assist device, replacement only |
| Q0488 | Pwr pack base elec vad, rep | Description: Power pack base for use with electric ventricular assist device, replacement only |
| Q0489 | Pwr pck base combo vad, rep | Description: Power pack base for use with electric/pneumatic ventricular assist device, replacement only |
| Q0490 | Emr pwr source elec vad, rep | Description: Emergency power source for use with electric ventricular assist device, replacement only |
| Q0491 | Emr pwr source combo vad rep | Description: Emergency power source for use with electric/pneumatic ventricular assist device, replacement only |
| Q0492 | Emr pwr cbl elec vad, rep | Description: Emergency power supply cable for use with electric ventricular assist device, replacement only |
| Q0493 | Emr pwr cbl combo vad, rep | Description: Emergency power supply cable for use with electric/pneumatic ventricular assist device, replacement only |
| Q0494 | Emr hd pmp elec/combo, rep | Description: Emergency hand pump for use with electric or electric/pneumatic ventricular assist device, replacement only |
| Q0495 | Charger elec/combo vad, rep | Description: Battery/power pack charger for use with electric or electric/pneumatic ventricular assist device, replacement only |
| Q0496 | Battery elec/combo vad, rep | Description: Battery, other than lithium-ion, for use with electric or electric/pneumatic ventricular assist device, replacement only |
| Q0497 | Bat clps elec/comb vad, rep | Description: Battery clips for use with electric or electric/pneumatic ventricular assist device, replacement only |
| Q0498 | Holster elec/combo vad, rep | Description: Holster for use with electric or electric/pneumatic ventricular assist device, replacement only |
| Q0499 | Belt/vest elec/combo vad rep | Description: Belt/vest/bag for use to carry external peripheral components of any type ventricular assist device, replacement only |
| Q0500 | Filters elec/combo vad, rep | Description: Filters for use with electric or electric/pneumatic ventricular assist device, replacement only |
| Q0501 | Shwr cov elec/combo vad, rep | Description: Shower cover for use with electric or electric/pneumatic ventricular assist device, replacement only |
| Q0502 | Mobility cart pneum vad, rep | Description: Mobility cart for pneumatic ventricular assist device, replacement only |
| Q0503 | Battery pneum vad replacemnt | Description: Battery for pneumatic ventricular assist device, replacement only, each |
| Q0504 | Pwr adpt pneum vad, rep veh | Description: Power adapter for pneumatic ventricular assist device, replacement only, vehicle type |
| Q0506 | Lith-ion batt elec/pneum vad | Description: Battery, lithium-ion, for use with electric or electric/pneumatic ventricular assist device, replacement only |
| Q0507 | Misc sup/acc ext vad | Description: Miscellaneous supply or accessory for use with an external ventricular assist device |
| Q0508 | Mis sup/acc imp vad | Description: Miscellaneous supply or accessory for use with an implanted ventricular assist device |
| Q0509 | Mis sup/ac imp vad nopay med | Description: Miscellaneous supply or accessory for use with any implanted ventricular assist device for which payment was not made under medicare part a |
| Q0510 | Dispens fee immunosupressive | Description: Pharmacy supply fee for initial immunosuppressive drug(s), first month following transplant |
| Q0511 | Sup fee antiem,antica,immuno | Description: Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period |
| Q0512 | Px sup fee anti-can sub pres | Description: Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period |
| Q0513 | Disp fee inhal drugs/30 days | Description: Pharmacy dispensing fee for inhalation drug(s); per 30 days |
| Q0514 | Disp fee inhal drugs/90 days | Description: Pharmacy dispensing fee for inhalation drug(s); per 90 days |
| Q0515 | Sermorelin acetate injection | Description: Injection, sermorelin acetate, 1 microgram |
| Q1004 | Ntiol category 4 | Description: New technology intraocular lens category 4 as defined in federal register notice |
| Q1005 | Ntiol category 5 | Description: New technology intraocular lens category 5 as defined in federal register notice |
| Q2004 | Bladder calculi irrig sol | Description: Irrigation solution for treatment of bladder calculi, for example renacidin, per 500 ml |
| Q2009 | Fosphenytoin inj pe | Description: Injection, fosphenytoin, 50 mg phenytoin equivalent |
| Q2017 | Teniposide, 50 mg | Description: Injection, teniposide, 50 mg |
| Q2026 | Radiesse injection | Description: Injection, radiesse, 0.1 ml |
| Q2028 | Inj, sculptra, 0.5mg | Description: Injection, sculptra, 0.5 mg |
| Q2034 | Agriflu vaccine | Description: Influenza virus vaccine, split virus, for intramuscular use (agriflu) |
| Q2035 | Afluria vacc, 3 yrs & >, im | Description: Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
| Q2036 | Flulaval vacc, 3 yrs & >, im | Description: Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) |
| Q2037 | Fluvirin vacc, 3 yrs & >, im | Description: Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
| Q2038 | Fluzone vacc, 3 yrs & >, im | Description: Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
| Q2039 | Influenza virus vaccine, nos | Description: Influenza virus vaccine, not otherwise specified |
| Q2041 | Axicabtagene ciloleucel car+ | Description: 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 car-pos t | Description: Tisagenlecleucel, up to 600 million car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose |
| Q2043 | Sipuleucel-t auto cd54+ | Description: Sipuleucel-t, minimum of 50 million autologous cd54+ cells activated with pap-gm-csf, including leukapheresis and all other preparatory procedures, per infusion |
| Q2049 | Imported lipodox inj | Description: Injection, doxorubicin hydrochloride, liposomal, imported lipodox, 10 mg |
| Q2050 | Doxorubicin inj 10mg | Description: Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg |
| Q2052 | Home ivig, services/supplies | Description: Services, supplies and accessories used in the home for the administration of intravenous immune globulin (ivig) |
| Q2053 | Brexucabtagene car pos t | Description: 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 mara car pos t | Description: Lisocabtagene maraleucel, up to 110 million autologous anti-cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose |
| Q2056 | Ciltacabtagene car-pos t | Description: 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 |
| Q3001 | Brachytherapy radioelements | Description: Radioelements for brachytherapy, any type, each |
| Q3014 | Telehealth facility fee | Description: Telehealth originating site facility fee |
| Q3027 | Inj beta interferon im 1 mcg | Description: Injection, interferon beta-1a, 1 mcg for intramuscular use |
| Q3028 | Inj beta interferon sq 1 mcg | Description: Injection, interferon beta-1a, 1 mcg for subcutaneous use |
| Q3031 | Collagen skin test | Description: Collagen skin test |
| Q4001 | Cast sup body cast plaster | Description: Casting supplies, body cast adult, with or without head, plaster |
| Q4002 | Cast sup body cast fiberglas | Description: Cast supplies, body cast adult, with or without head, fiberglass |
| Q4003 | Cast sup shoulder cast plstr | Description: Cast supplies, shoulder cast, adult (11 years +), plaster |
| Q4004 | Cast sup shoulder cast fbrgl | Description: Cast supplies, shoulder cast, adult (11 years +), fiberglass |
| Q4005 | Cast sup long arm adult plst | Description: Cast supplies, long arm cast, adult (11 years +), plaster |
| Q4006 | Cast sup long arm adult fbrg | Description: Cast supplies, long arm cast, adult (11 years +), fiberglass |
| Q4007 | Cast sup long arm ped plster | Description: Cast supplies, long arm cast, pediatric (0-10 years), plaster |
| Q4008 | Cast sup long arm ped fbrgls | Description: Cast supplies, long arm cast, pediatric (0-10 years), fiberglass |
| Q4009 | Cast sup sht arm adult plstr | Description: Cast supplies, short arm cast, adult (11 years +), plaster |
| Q4010 | Cast sup sht arm adult fbrgl | Description: Cast supplies, short arm cast, adult (11 years +), fiberglass |
| Q4011 | Cast sup sht arm ped plaster | Description: Cast supplies, short arm cast, pediatric (0-10 years), plaster |
| Q4012 | Cast sup sht arm ped fbrglas | Description: Cast supplies, short arm cast, pediatric (0-10 years), fiberglass |
| Q4013 | Cast sup gauntlet plaster | Description: Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), plaster |
| Q4014 | Cast sup gauntlet fiberglass | Description: Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), fiberglass |
| Q4015 | Cast sup gauntlet ped plster | Description: Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), plaster |
| Q4016 | Cast sup gauntlet ped fbrgls | Description: Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), fiberglass |
| Q4017 | Cast sup lng arm splint plst | Description: Cast supplies, long arm splint, adult (11 years +), plaster |
| Q4018 | Cast sup lng arm splint fbrg | Description: Cast supplies, long arm splint, adult (11 years +), fiberglass |
| Q4019 | Cast sup lng arm splnt ped p | Description: Cast supplies, long arm splint, pediatric (0-10 years), plaster |
| Q4020 | Cast sup lng arm splnt ped f | Description: Cast supplies, long arm splint, pediatric (0-10 years), fiberglass |
| Q4021 | Cast sup sht arm splint plst | Description: Cast supplies, short arm splint, adult (11 years +), plaster |
| Q4022 | Cast sup sht arm splint fbrg | Description: Cast supplies, short arm splint, adult (11 years +), fiberglass |
| Q4023 | Cast sup sht arm splnt ped p | Description: Cast supplies, short arm splint, pediatric (0-10 years), plaster |
| Q4024 | Cast sup sht arm splnt ped f | Description: Cast supplies, short arm splint, pediatric (0-10 years), fiberglass |
| Q4025 | Cast sup hip spica plaster | Description: Cast supplies, hip spica (one or both legs), adult (11 years +), plaster |
| Q4026 | Cast sup hip spica fiberglas | Description: Cast supplies, hip spica (one or both legs), adult (11 years +), fiberglass |
| Q4027 | Cast sup hip spica ped plstr | Description: Cast supplies, hip spica (one or both legs), pediatric (0-10 years), plaster |
| Q4028 | Cast sup hip spica ped fbrgl | Description: Cast supplies, hip spica (one or both legs), pediatric (0-10 years), fiberglass |
| Q4029 | Cast sup long leg plaster | Description: Cast supplies, long leg cast, adult (11 years +), plaster |
| Q4030 | Cast sup long leg fiberglass | Description: Cast supplies, long leg cast, adult (11 years +), fiberglass |
| Q4031 | Cast sup lng leg ped plaster | Description: Cast supplies, long leg cast, pediatric (0-10 years), plaster |
| Q4032 | Cast sup lng leg ped fbrgls | Description: Cast supplies, long leg cast, pediatric (0-10 years), fiberglass |
| Q4033 | Cast sup lng leg cylinder pl | Description: Cast supplies, long leg cylinder cast, adult (11 years +), plaster |
| Q4034 | Cast sup lng leg cylinder fb | Description: Cast supplies, long leg cylinder cast, adult (11 years +), fiberglass |
| Q4035 | Cast sup lngleg cylndr ped p | Description: Cast supplies, long leg cylinder cast, pediatric (0-10 years), plaster |
| Q4036 | Cast sup lngleg cylndr ped f | Description: Cast supplies, long leg cylinder cast, pediatric (0-10 years), fiberglass |
| Q4037 | Cast sup shrt leg plaster | Description: Cast supplies, short leg cast, adult (11 years +), plaster |
| Q4038 | Cast sup shrt leg fiberglass | Description: Cast supplies, short leg cast, adult (11 years +), fiberglass |
| Q4039 | Cast sup shrt leg ped plster | Description: Cast supplies, short leg cast, pediatric (0-10 years), plaster |
| Q4040 | Cast sup shrt leg ped fbrgls | Description: Cast supplies, short leg cast, pediatric (0-10 years), fiberglass |
| Q4041 | Cast sup lng leg splnt plstr | Description: Cast supplies, long leg splint, adult (11 years +), plaster |
| Q4042 | Cast sup lng leg splnt fbrgl | Description: Cast supplies, long leg splint, adult (11 years +), fiberglass |
| Q4043 | Cast sup lng leg splnt ped p | Description: Cast supplies, long leg splint, pediatric (0-10 years), plaster |
| Q4044 | Cast sup lng leg splnt ped f | Description: Cast supplies, long leg splint, pediatric (0-10 years), fiberglass |
| Q4045 | Cast sup sht leg splnt plstr | Description: Cast supplies, short leg splint, adult (11 years +), plaster |
| Q4046 | Cast sup sht leg splnt fbrgl | Description: Cast supplies, short leg splint, adult (11 years +), fiberglass |
| Q4047 | Cast sup sht leg splnt ped p | Description: Cast supplies, short leg splint, pediatric (0-10 years), plaster |
| Q4048 | Cast sup sht leg splnt ped f | Description: Cast supplies, short leg splint, pediatric (0-10 years), fiberglass |
| Q4049 | Finger splint, static | Description: Finger splint, static |
| Q4050 | Cast supplies unlisted | Description: Cast supplies, for unlisted types and materials of casts |
| Q4051 | Splint supplies misc | Description: Splint supplies, miscellaneous (includes thermoplastics, strapping, fasteners, padding and other supplies) |
| Q4074 | Iloprost non-comp unit dose | Description: Iloprost, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 20 micrograms |
| Q4081 | Epoetin alfa, 100 units esrd | Description: Injection, epoetin alfa, 100 units (for esrd on dialysis) |
| Q4082 | Drug/bio noc part b drug cap | Description: Drug or biological, not otherwise classified, part b drug competitive acquisition program (cap) |
| Q4100 | Skin substitute, nos | Description: Skin substitute, not otherwise specified |
| Q4101 | Apligraf | Description: Apligraf, per square centimeter |
| Q4102 | Oasis wound matrix | Description: Oasis wound matrix, per square centimeter |
| Q4103 | Oasis burn matrix | Description: Oasis burn matrix, per square centimeter |
| Q4104 | Integra bmwd | Description: Integra bilayer matrix wound dressing (bmwd), per square centimeter |
| Q4105 | Integra drt or omnigraft | Description: Integra dermal regeneration template (drt) or integra omnigraft dermal regeneration matrix, per square centimeter |
| Q4106 | Dermagraft | Description: Dermagraft, per square centimeter |
| Q4107 | Graftjacket | Description: Graftjacket, per square centimeter |
| Q4108 | Integra matrix | Description: Integra matrix, per square centimeter |
| Q4110 | Primatrix | Description: Primatrix, per square centimeter |
| Q4111 | Gammagraft | Description: Gammagraft, per square centimeter |
| Q4112 | Cymetra injectable | Description: Cymetra, injectable, 1 cc |
| Q4113 | Graftjacket xpress | Description: Graftjacket xpress, injectable, 1 cc |
| Q4114 | Integra flowable wound matri | Description: Integra flowable wound matrix, injectable, 1 cc |
| Q4115 | Alloskin | Description: Alloskin, per square centimeter |
| Q4116 | Alloderm | Description: Alloderm, per square centimeter |
| Q4117 | Hyalomatrix | Description: Hyalomatrix, per square centimeter |
| Q4118 | Matristem micromatrix | Description: Matristem micromatrix, 1 mg |
| Q4121 | Theraskin | Description: Theraskin, per square centimeter |
| Q4122 | Dermacell, awm, porous sq cm | Description: Dermacell, dermacell awm or dermacell awm porous, per square centimeter |
| Q4123 | Alloskin | Description: Alloskin rt, per square centimeter |
| Q4124 | Oasis tri-layer wound matrix | Description: Oasis ultra tri-layer wound matrix, per square centimeter |
| Q4125 | Arthroflex | Description: Arthroflex, per square centimeter |
| Q4126 | Memoderm/derma/tranz/integup | Description: Memoderm, dermaspan, tranzgraft or integuply, per square centimeter |
| Q4127 | Talymed | Description: Talymed, per square centimeter |
| Q4128 | Flexhd/allopatchhd/sq cm | Description: Flex hd, or allopatch hd, per square centimeter |
| Q4130 | Strattice tm | Description: Strattice tm, per square centimeter |
| Q4132 | Grafix core, grafixpl core | Description: Grafix core and grafixpl core, per square centimeter |
| Q4133 | Grafix stravix prime pl sqcm | Description: Grafix prime, grafixpl prime, stravix and stravixpl, per square centimeter |
| Q4134 | Hmatrix | Description: Hmatrix, per square centimeter |
| Q4135 | Mediskin | Description: Mediskin, per square centimeter |
| Q4136 | Ezderm | Description: Ez-derm, per square centimeter |
| Q4137 | Amnioexcel biodexcel 1sq cm | Description: Amnioexcel, amnioexcel plus or biodexcel, per square centimeter |
| Q4138 | Biodfence dryflex, 1cm | Description: Biodfence dryflex, per square centimeter |
| Q4139 | Amnio or biodmatrix, inj 1cc | Description: Amniomatrix or biodmatrix, injectable, 1 cc |
| Q4140 | Biodfence 1cm | Description: Biodfence, per square centimeter |
| Q4141 | Alloskin ac, 1 cm | Description: Alloskin ac, per square centimeter |
| Q4142 | Xcm biologic tiss matrix 1cm | Description: Xcm biologic tissue matrix, per square centimeter |
| Q4143 | Repriza, 1cm | Description: Repriza, per square centimeter |
| Q4145 | Epifix, inj, 1mg | Description: Epifix, injectable, 1 mg |
| Q4146 | Tensix, 1cm | Description: Tensix, per square centimeter |
| Q4147 | Architect ecm px fx 1 sq cm | Description: Architect, architect px, or architect fx, extracellular matrix, per square centimeter |
| Q4148 | Neox neox rt or clarix cord | Description: Neox cord 1k, neox cord rt, or clarix cord 1k, per square centimeter |
| Q4149 | Excellagen, 0.1 cc | Description: Excellagen, 0.1 cc |
| Q4150 | Allowrap ds or dry 1 sq cm | Description: Allowrap ds or dry, per square centimeter |
| Q4151 | Amnioband, guardian 1 sq cm | Description: Amnioband or guardian, per square centimeter |
| Q4152 | Dermapure 1 square cm | Description: Dermapure, per square centimeter |
| Q4153 | Dermavest, plurivest sq cm | Description: Dermavest and plurivest, per square centimeter |
| Q4154 | Biovance 1 square cm | Description: Biovance, per square centimeter |
| Q4155 | Neoxflo or clarixflo 1 mg | Description: Neoxflo or clarixflo, 1 mg |
| Q4156 | Neox 100 or clarix 100 | Description: Neox 100 or clarix 100, per square centimeter |
| Q4157 | Revitalon 1 square cm | Description: Revitalon, per square centimeter |
| Q4158 | Kerecis omega3, per sq cm | Description: Kerecis omega3, per square centimeter |
| Q4159 | Affinity1 square cm | Description: Affinity, per square centimeter |
| Q4160 | Nushield 1 square cm | Description: Nushield, per square centimeter |
| Q4161 | Bio-connekt per square cm | Description: Bio-connekt wound matrix, per square centimeter |
| Q4162 | Wndex flw, bioskn flw, 0.5cc | Description: Woundex flow, bioskin flow, 0.5 cc |
| Q4163 | Woundex, bioskin, per sq cm | Description: Woundex, bioskin, per square centimeter |
| Q4164 | Helicoll, per square cm | Description: Helicoll, per square centimeter |
| Q4165 | Keramatrix, kerasorb sq cm | Description: Keramatrix or kerasorb, per square centimeter |
| Q4166 | Cytal, per square centimeter | Description: Cytal, per square centimeter |
| Q4167 | Truskin, per sq centimeter | Description: Truskin, per square centimeter |
| Q4168 | Amnioband, 1 mg | Description: Amnioband, 1 mg |
| Q4169 | Artacent wound, per sq cm | Description: Artacent wound, per square centimeter |
| Q4170 | Cygnus, per sq cm | Description: Cygnus, per square centimeter |
| Q4171 | Interfyl, 1 mg | Description: Interfyl, 1 mg |
| Q4173 | Palingen or palingen xplus | Description: Palingen or palingen xplus, per square centimeter |
| Q4174 | Palingen or promatrx | Description: Palingen or promatrx, 0.36 mg per 0.25 cc |
| Q4175 | Miroderm | Description: Miroderm, per square centimeter |
| Q4176 | Neopatch or therion, 1 sq cm | Description: Neopatch or therion, per square centimeter |
| Q4177 | Floweramnioflo, 0.1 cc | Description: Floweramnioflo, 0.1 cc |
| Q4178 | Floweramniopatch, per sq cm | Description: Floweramniopatch, per square centimeter |
| Q4179 | Flowerderm, per sq cm | Description: Flowerderm, per square centimeter |
| Q4180 | Revita, per sq cm | Description: Revita, per square centimeter |
| Q4181 | Amnio wound, per square cm | Description: Amnio wound, per square centimeter |
| Q4182 | Transcyte, per sq centimeter | Description: Transcyte, per square centimeter |
| Q4183 | Surgigraft, 1 sq cm | Description: Surgigraft, per square centimeter |
| Q4184 | Cellesta or duo per sq cm | Description: Cellesta or cellesta duo, per square centimeter |
| Q4185 | Cellesta flowab amnion 0.5cc | Description: Cellesta flowable amnion (25 mg per cc); per 0.5 cc |
| Q4186 | Epifix 1 sq cm | Description: Epifix, per square centimeter |
| Q4187 | Epicord 1 sq cm | Description: Epicord, per square centimeter |
| Q4188 | Amnioarmor 1 sq cm | Description: Amnioarmor, per square centimeter |
| Q4189 | Artacent ac, 1 mg | Description: Artacent ac, 1 mg |
| Q4190 | Artacent ac 1 sq cm | Description: Artacent ac, per square centimeter |
| Q4191 | Restorigin 1 sq cm | Description: Restorigin, per square centimeter |
| Q4192 | Restorigin, 1 cc | Description: Restorigin, 1 cc |
| Q4193 | Coll-e-derm 1 sq cm | Description: Coll-e-derm, per square centimeter |
| Q4194 | Novachor 1 sq cm | Description: Novachor, per square centimeter |
| Q4195 | Puraply 1 sq cm | Description: Puraply, per square centimeter |
| Q4196 | Puraply am 1 sq cm | Description: Puraply am, per square centimeter |
| Q4197 | Puraply xt 1 sq cm | Description: Puraply xt, per square centimeter |
| Q4198 | Genesis amnio membrane 1sqcm | Description: Genesis amniotic membrane, per square centimeter |
| Q4199 | Cygnus matrix, per sq cm | Description: Cygnus matrix, per square centimeter |
| Q4200 | Skin te 1 sq cm | Description: Skin te, per square centimeter |
| Q4201 | Matrion 1 sq cm | Description: Matrion, per square centimeter |
| Q4202 | Keroxx (2.5g/cc), 1cc | Description: Keroxx (2.5g/cc), 1cc |
| Q4203 | Derma-gide, 1 sq cm | Description: Derma-gide, per square centimeter |
| Q4204 | Xwrap 1 sq cm | Description: Xwrap, per square centimeter |
| Q4205 | Membrane graft or wrap sq cm | Description: Membrane graft or membrane wrap, per square centimeter |
| Q4206 | Fluid flow or fluid gf 1 cc | Description: Fluid flow or fluid gf, 1 cc |
| Q4208 | Novafix per sq cm | Description: Novafix, per square cenitmeter |
| Q4209 | Surgraft per sq cm | Description: Surgraft, per square centimeter |
| Q4211 | Amnion bio or axobio sq cm | Description: Amnion bio or axobiomembrane, per square centimeter |
| Q4212 | Allogen, per cc | Description: Allogen, per cc |
| Q4213 | Ascent, 0.5 mg | Description: Ascent, 0.5 mg |
| Q4214 | Cellesta cord per sq cm | Description: Cellesta cord, per square centimeter |
| Q4215 | Axolotl ambient, cryo 0.1 mg | Description: Axolotl ambient or axolotl cryo, 0.1 mg |
| Q4216 | Artacent cord per sq cm | Description: Artacent cord, per square centimeter |
| Q4217 | Woundfix biowound plus xplus | Description: Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter |
| Q4218 | Surgicord per sq cm | Description: Surgicord, per square centimeter |
| Q4219 | Surgigraft dual per sq cm | Description: Surgigraft-dual, per square centimeter |
| Q4220 | Bellacell hd, surederm sq cm | Description: Bellacell hd or surederm, per square centimeter |
| Q4221 | Amniowrap2 per sq cm | Description: Amniowrap2, per square centimeter |
| Q4222 | Progenamatrix, per sq cm | Description: Progenamatrix, per square centimeter |
| Q4224 | Hhf10-p per sq cm | Description: Human health factor 10 amniotic patch (hhf10-p), per square centimeter |
| Q4225 | Amnio or derma tl, per sq cm | Description: Amniobind or dermabind tl, per square centimeter |
| Q4226 | Myown harv prep proc sq cm | Description: Myown skin, includes harvesting and preparation procedures, per square centimeter |
| Q4227 | Amniocore per sq cm | Description: Amniocore, per square centimeter |
| Q4229 | Cogenex amnio memb per sq cm | Description: Cogenex amniotic membrane, per square centimeter |
| Q4230 | Cogenex flow amnion 0.5 cc | Description: Cogenex flowable amnion, per 0.5 cc |
| Q4232 | Corplex, per sq cm | Description: Corplex, per square centimeter |
| Q4233 | Surfactor /nudyn per 0.5 cc | Description: Surfactor or nudyn, per 0.5 cc |
| Q4234 | Xcellerate, per sq cm | Description: Xcellerate, per square centimeter |
| Q4235 | Amniorepair or altiply sq cm | Description: Amniorepair or altiply, per square centimeter |
| Q4236 | Carepatch per sq cm | Description: Carepatch, per square centimeter |
| Q4237 | Cryo-cord, per sq cm | Description: Cryo-cord, per square centimeter |
| Q4238 | Derm-maxx, per sq cm | Description: Derm-maxx, per square centimeter |
| Q4239 | Amnio-maxx or lite per sq cm | Description: Amnio-maxx or amnio-maxx lite, per square centimeter |
| Q4240 | Corecyte topical only 0.5 cc | Description: Corecyte, for topical use only, per 0.5 cc |
| Q4241 | Polycyte, topical only 0.5cc | Description: Polycyte, for topical use only, per 0.5 cc |
| Q4242 | Amniocyte plus, per 0.5 cc | Description: Amniocyte plus, per 0.5 cc |
| Q4244 | Procenta, per 200 mg | Description: Procenta, per 200 mg |
| Q4245 | Amniotext, per cc | Description: Amniotext, per cc |
| Q4246 | Coretext or protext, per cc | Description: Coretext or protext, per cc |
| Q4247 | Amniotext patch, per sq cm | Description: Amniotext patch, per square centimeter |
| Q4248 | Dermacyte amn mem allo sq cm | Description: Dermacyte amniotic membrane allograft, per square centimeter |
| Q4249 | Amniply, per sq cm | Description: Amniply, for topical use only, per square centimeter |
| Q4250 | Amnioamp-mp per sq cm | Description: Amnioamp-mp, per square centimeter |
| Q4251 | Vim, per square centimeter | Description: Vim, per square centimeter |
| Q4252 | Vendaje, per square centimet | Description: Vendaje, per square centimeter |
| Q4253 | Zenith amniotic membrane psc | Description: Zenith amniotic membrane, per square centimeter |
| Q4254 | Novafix dl per sq cm | Description: Novafix dl, per square centimeter |
| Q4255 | Reguard, topical use per sq | Description: Reguard, for topical use only, per square centimeter |
| Q4256 | Mlg complet, per sq cm | Description: Mlg-complete, per square centimeter |
| Q4257 | Relese, per sq cm | Description: Relese, per square centimeter |
| Q4258 | Enverse, per sq cm | Description: Enverse, per square centimeter |
| Q4259 | Celera per sq cm | Description: Celera dual layer or celera dual membrane, per square centimeter |
| Q4260 | Signature apatch, per sq cm | Description: Signature apatch, per square centimeter |
| Q4261 | Tag, per square centimeter | Description: Tag, per square centimeter |
| Q4262 | Dual layer impax, per sq cm | Description: Dual layer impax membrane, per square centimeter |
| Q4263 | Surgraft tl, per sq cm | Description: Surgraft tl, per square centimeter |
| Q4264 | Cocoon membrane, per sq cm | Description: Cocoon membrane, per square centimeter |
| Q4265 | Neostim tl per sq cm | Description: Neostim tl, per square centimeter |
| Q4266 | Neostim per sq cm | Description: Neostim membrane, per square centimeter |
| Q4267 | Neostim dl per sq cm | Description: Neostim dl, per square centimeter |
| Q4268 | Surgraft ft per sq cm | Description: Surgraft ft, per square centimeter |
| Q4269 | Surgraft xt per sq cm | Description: Surgraft xt, per square centimeter |
| Q4270 | Complete sl per sq cm | Description: Complete sl, per square centimeter |
| Q4271 | Complete ft per sq cm | Description: Complete ft, per square centimeter |
| Q4272 | Esano a, per sq cm | Description: Esano a, per square centimeter |
| Q4273 | Esano aaa, per sq cm | Description: Esano aaa, per square centimeter |
| Q4274 | Esano ac, per sq cm | Description: Esano ac, per square centimeter |
| Q4275 | Esano aca, per sq cm | Description: Esano aca, per square centimeter |
| Q4276 | Orion, per sq cm | Description: Orion, per square centimeter |
| Q4278 | Epieffect, per sq cm | Description: Epieffect, per square centimeter |
| Q4279 | Vendaje ac, per sq cm | Description: Vendaje ac, per square centimeter |
| Q4280 | Xcell amnio matrix per sq cm | Description: Xcell amnio matrix, per square centimeter |
| Q4281 | Barrera slor dl per sq cm | Description: Barrera sl or barrera dl, per square centimeter |
| Q4282 | Cygnus dual per sq cm | Description: Cygnus dual, per square centimeter |
| Q4283 | Biovance tri or 3l, sq cm | Description: Biovance tri-layer or biovance 3l, per square centimeter |
| Q4284 | Dermabind sl, per sq cm | Description: Dermabind sl, per square centimeter |
| Q4285 | Nudyn dl or dl mesh pr sq cm | Description: Nudyn dl or nudyn dl mesh, per square centimeter |
| Q4286 | Nudyn sl or slw, per sq cm | Description: Nudyn sl or nudyn slw, per square centimeter |
| Q4287 | Dermabind dl, per sq cm | Description: Dermabind dl, per square centimeter |
| Q4288 | Dermabind ch, per sq cm | Description: Dermabind ch, per square centimeter |
| Q4289 | Revoshield+ amnio, per sq cm | Description: Revoshield + amniotic barrier, per square centimeter |
| Q4290 | Membrane wrap hydr per sq cm | Description: Membrane wrap-hydro, per square centimeter |
| Q4291 | Lamellas xt, per sq cm | Description: Lamellas xt, per square centimeter |
| Q4292 | Lamellas, per sq cm | Description: Lamellas, per square centimeter |
| Q4293 | Acesso dl, per sq cm | Description: Acesso dl, per square centimeter |
| Q4294 | Amnio quad-core, per sq cm | Description: Amnio quad-core, per square centimeter |
| Q4295 | Amnio tri-core, per sq cm | Description: Amnio tri-core amniotic, per square centimeter |
| Q4296 | Rebound matrix, per sq cm | Description: Rebound matrix, per square centimeter |
| Q4297 | Emerge matrix, per sq cm | Description: Emerge matrix, per square centimeter |
| Q4298 | Amnicore pro, per sq cm | Description: Amnicore pro, per square centimeter |
| Q4299 | Amnicore pro+, per sq cm | Description: Amnicore pro+, per square centimeter |
| Q4300 | Acesso tl, per sq cm | Description: Acesso tl, per square centimeter |
| Q4301 | Activate matrix, per sq cm | Description: Activate matrix, per square centimeter |
| Q4302 | Complete aca, per sq cm | Description: Complete aca, per square centimeter |
| Q4303 | Complete aa, per sq cm | Description: Complete aa, per square centimeter |
| Q4304 | Grafix plus, per sq cm | Description: Grafix plus, per square centimeter |
| Q5001 | Hospice or home hlth in home | Description: Hospice or home health care provided in patient's home/residence |
| Q5002 | Hospice/home hlth in asst lv | Description: Hospice or home health care provided in assisted living facility |
| Q5003 | Hospice in lt/non-skilled nf | Description: Hospice care provided in nursing long term care facility (ltc) or non-skilled nursing facility (nf) |
| Q5004 | Hospice in snf | Description: Hospice care provided in skilled nursing facility (snf) |
| Q5005 | Hospice, inpatient hospital | Description: Hospice care provided in inpatient hospital |
| Q5006 | Hospice in hospice facility | Description: Hospice care provided in inpatient hospice facility |
| Q5007 | Hospice in ltch | Description: Hospice care provided in long term care facility |
| Q5008 | Hospice in inpatient psych | Description: Hospice care provided in inpatient psychiatric facility |
| Q5009 | Hospice/home hlth, place nos | Description: Hospice or home health care provided in place not otherwise specified (nos) |
| Q5010 | Hospice home care in hospice | Description: Hospice home care provided in a hospice facility |
| Q5101 | Injection, zarxio | Description: Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram |
| Q5103 | Injection, inflectra | Description: Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg |
| Q5104 | Injection, renflexis | Description: Injection, infliximab-abda, biosimilar, (renflexis), 10 mg |
| Q5105 | Inj retacrit esrd on dialysi | Description: Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units |
| Q5106 | Inj retacrit non-esrd use | Description: Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units |
| Q5107 | Inj mvasi 10 mg | Description: Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg |
| Q5108 | Injection, fulphila | Description: Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg |
| Q5109 | Injection, ixifi, 10 mg | Description: Injection, infliximab-qbtx, biosimilar, (ixifi), 10 mg |
| Q5110 | Nivestym | Description: Injection, filgrastim-aafi, biosimilar, (nivestym), 1 microgram |
| Q5111 | Injection, udenyca 0.5 mg | Description: Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg |
| Q5112 | Inj ontruzant 10 mg | Description: Injection, trastuzumab-dttb, biosimilar, (ontruzant), 10 mg |
| Q5113 | Inj herzuma 10 mg | Description: Injection, trastuzumab-pkrb, biosimilar, (herzuma), 10 mg |
| Q5114 | Inj ogivri 10 mg | Description: Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg |
| Q5115 | Inj truxima 10 mg | Description: Injection, rituximab-abbs, biosimilar, (truxima), 10 mg |
| Q5116 | Inj., trazimera, 10 mg | Description: Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg |
| Q5117 | Inj., kanjinti, 10 mg | Description: Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg |
| Q5118 | Inj., zirabev, 10 mg | Description: Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg |
| Q5119 | Inj ruxience, 10 mg | Description: Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg |
| Q5120 | Inj pegfilgrastim-bmez 0.5mg | Description: Injection, pegfilgrastim-bmez (ziextenzo), biosimilar, 0.5 mg |
| Q5121 | Inj. avsola, 10 mg | Description: Injection, infliximab-axxq, biosimilar, (avsola), 10 mg |
| Q5122 | Inj, nyvepria | Description: Injection, pegfilgrastim-apgf (nyvepria), biosimilar, 0.5 mg |
| Q5123 | Inj. riabni, 10 mg | Description: Injection, rituximab-arrx, biosimilar, (riabni), 10 mg |
| Q5124 | Inj. byooviz, 0.1 mg | Description: Injection, ranibizumab-nuna, biosimilar, (byooviz), 0.1 mg |
| Q5125 | Inj, releuko 1 mcg | Description: Injection, filgrastim-ayow, biosimilar, (releuko), 1 microgram |
| Q5126 | Inj alymsys 10 mg | Description: Injection, bevacizumab-maly, biosimilar, (alymsys), 10 mg |
| Q5127 | Inj, stimufend, 0.5 mg | Description: Injection, pegfilgrastim-fpgk (stimufend), biosimilar, 0.5 mg |
| Q5128 | Inj, cimerli, 0.1 mg | Description: Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg |
| Q5129 | Inj, vegzelma, 10 mg | Description: Injection, bevacizumab-adcd (vegzelma), biosimilar, 10 mg |
| Q5130 | Inj, fylnetra, 0.5 mg | Description: Injection, pegfilgrastim-pbbk (fylnetra), biosimilar, 0.5 mg |
| Q9001 | Chaplain assessment | Description: Assessment by chaplain services |
| Q9002 | Chaplain counsel individu | Description: Counseling, individual, by chaplain services |
| Q9003 | Chaplain counsel group | Description: Counseling, group, by chaplain services |
| Q9004 | Va whole health partner serv | Description: Department of veterans affairs whole health partner services |
| Q9950 | Inj sulf hexa lipid microsph | Description: Injection, sulfur hexafluoride lipid microspheres, per ml |
| Q9951 | Locm >= 400 mg/ml iodine,1ml | Description: Low osmolar contrast material, 400 or greater mg/ml iodine concentration, per ml |
| Q9953 | Inj fe-based mr contrast,1ml | Description: Injection, iron-based magnetic resonance contrast agent, per ml |
| Q9954 | Oral mr contrast, 100 ml | Description: Oral magnetic resonance contrast agent, per 100 ml |
| Q9955 | Inj perflexane lip micros,ml | Description: Injection, perflexane lipid microspheres, per ml |
| Q9956 | Inj octafluoropropane mic,ml | Description: Injection, octafluoropropane microspheres, per ml |
| Q9957 | Inj perflutren lip micros,ml | Description: Injection, perflutren lipid microspheres, per ml |
| Q9958 | Hocm <=149 mg/ml iodine, 1ml | Description: High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml |
| Q9959 | Hocm 150-199mg/ml iodine,1ml | Description: High osmolar contrast material, 150-199 mg/ml iodine concentration, per ml |
| Q9960 | Hocm 200-249mg/ml iodine,1ml | Description: High osmolar contrast material, 200-249 mg/ml iodine concentration, per ml |
| Q9961 | Hocm 250-299mg/ml iodine,1ml | Description: High osmolar contrast material, 250-299 mg/ml iodine concentration, per ml |
| Q9962 | Hocm 300-349mg/ml iodine,1ml | Description: High osmolar contrast material, 300-349 mg/ml iodine concentration, per ml |
| Q9963 | Hocm 350-399mg/ml iodine,1ml | Description: High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml |
| Q9964 | Hocm>= 400mg/ml iodine, 1ml | Description: High osmolar contrast material, 400 or greater mg/ml iodine concentration, per ml |
| Q9965 | Locm 100-199mg/ml iodine,1ml | Description: Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml |
| Q9966 | Locm 200-299mg/ml iodine,1ml | Description: Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
| Q9967 | Locm 300-399mg/ml iodine,1ml | Description: Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
| Q9968 | Visualization adjunct | Description: Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg |
| Q9969 | Non-heu tc-99m add-on/dose | Description: Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose |
| Q9982 | Flutemetamol f18 diagnostic | Description: Flutemetamol f18, diagnostic, per study dose, up to 5 millicuries |
| Q9983 | Florbetaben f18 diagnostic | Description: Florbetaben f18, diagnostic, per study dose, up to 8.1 millicuries |
| Q9991 | Buprenorph xr 100 mg or less | Description: Injection, buprenorphine extended-release (sublocade), less than or equal to 100 mg |
| Q9992 | Buprenorphine xr over 100 mg | Description: Injection, buprenorphine extended-release (sublocade), greater than 100 mg |
| R0070 | Transport portable x-ray | Description: Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, one patient seen |
| R0075 | Transport port x-ray multipl | Description: Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, more than one patient seen |
| R0076 | Transport portable ekg | Description: Transportation of portable ekg to facility or location, per patient |
| S0012 | Butorphanol tartrate, nasal | Description: Butorphanol tartrate, nasal spray, 25 mg |
| S0013 | Esketamine, nasal spray | Description: Esketamine, nasal spray, 1 mg |
| S0014 | Tacrine hydrochloride, 10 mg | Description: Tacrine hydrochloride, 10 mg |
| S0021 | Injection, cefoperazone sod | Description: Injection, cefoperazone sodium, 1 gram |
| S0023 | Injection, cimetidine hydroc | Description: Injection, cimetidine hydrochloride, 300 mg |
| S0034 | Injection, ofloxacin, 400 mg | Description: Injection, ofloxacin, 400 mg |
| S0040 | Injection, ticarcillin disod | Description: Injection, ticarcillin disodium and clavulanate potassium, 3.1 grams |
| S0074 | Injection, cefotetan disodiu | Description: Injection, cefotetan disodium, 500 mg |
| S0078 | Injection, fosphenytoin sodi | Description: Injection, fosphenytoin sodium, 750 mg |
| S0080 | Injection, pentamidine iseth | Description: Injection, pentamidine isethionate, 300 mg |
| S0081 | Injection, piperacillin sodi | Description: Injection, piperacillin sodium, 500 mg |
| S0088 | Imatinib 100 mg | Description: Imatinib, 100 mg |
| S0090 | Sildenafil citrate, 25 mg | Description: Sildenafil citrate, 25 mg |
| S0091 | Granisetron 1mg | Description: Granisetron hydrochloride, 1 mg (for circumstances falling under the medicare statute, use q0166) |
| S0092 | Hydromorphone 250 mg | Description: Injection, hydromorphone hydrochloride, 250 mg (loading dose for infusion pump) |
| S0093 | Morphine 500 mg | Description: Injection, morphine sulfate, 500 mg (loading dose for infusion pump) |
| S0104 | Zidovudine, oral, 100 mg | Description: Zidovudine, oral, 100 mg |
| S0106 | Bupropion hcl sr 60 tablets | Description: Bupropion hcl sustained release tablet, 150 mg, per bottle of 60 tablets |
| S0108 | Mercaptopurine 50 mg | Description: Mercaptopurine, oral, 50 mg |
| S0109 | Methadone oral 5mg | Description: Methadone, oral, 5 mg |
| S0117 | Tretinoin topical 5 g | Description: Tretinoin, topical, 5 grams |
| S0119 | Ondansetron 4 mg | Description: Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) |
| S0122 | Inj menotropins 75 iu | Description: Injection, menotropins, 75 iu |
| S0126 | Inj follitropin alfa 75 iu | Description: Injection, follitropin alfa, 75 iu |
| S0128 | Inj follitropin beta 75 iu | Description: Injection, follitropin beta, 75 iu |
| S0132 | Inj ganirelix acetat 250 mcg | Description: Injection, ganirelix acetate, 250 mcg |
| S0136 | Clozapine, 25 mg | Description: Clozapine, 25 mg |
| S0137 | Didanosine, 25 mg | Description: Didanosine (ddi), 25 mg |
| S0138 | Finasteride, 5 mg | Description: Finasteride, 5 mg |
| S0139 | Minoxidil, 10 mg | Description: Minoxidil, 10 mg |
| S0140 | Saquinavir, 200 mg | Description: Saquinavir, 200 mg |
| S0142 | Colistimethate inh sol mg | Description: Colistimethate sodium, inhalation solution administered through dme, concentrated form, per mg |
| S0145 | Peg interferon alfa-2a/180 | Description: Injection, pegylated interferon alfa-2a, 180 mcg per ml |
| S0148 | Peg interferon alfa-2b/10 | Description: Injection, pegylated interferon alfa-2b, 10 mcg |
| S0155 | Epoprostenol dilutant | Description: Sterile dilutant for epoprostenol, 50 ml |
| S0156 | Exemestane, 25 mg | Description: Exemestane, 25 mg |
| S0157 | Becaplermin gel 1%, 0.5 gm | Description: Becaplermin gel 0.01%, 0.5 gm |
| S0160 | Dextroamphetamine | Description: Dextroamphetamine sulfate, 5 mg |
| S0169 | Calcitrol | Description: Calcitrol, 0.25 microgram |
| S0170 | Anastrozole 1 mg | Description: Anastrozole, oral, 1 mg |
| S0172 | Chlorambucil 2 mg | Description: Chlorambucil, oral, 2 mg |
| S0174 | Dolasetron 50 mg | Description: Dolasetron mesylate, oral 50 mg (for circumstances falling under the medicare statute, use q0180) |
| S0175 | Flutamide 125 mg | Description: Flutamide, oral, 125 mg |
| S0176 | Hydroxyurea 500 mg | Description: Hydroxyurea, oral, 500 mg |
| S0177 | Levamisole 50 mg | Description: Levamisole hydrochloride, oral, 50 mg |
| S0178 | Lomustine 10 mg | Description: Lomustine, oral, 10 mg |
| S0179 | Megestrol 20 mg | Description: Megestrol acetate, oral, 20 mg |
| S0182 | Procarbazine, oral | Description: Procarbazine hydrochloride, oral, 50 mg |
| S0183 | Prochlorperazine 5 mg | Description: Prochlorperazine maleate, oral, 5 mg (for circumstances falling under the medicare statute, use q0164) |
| S0187 | Tamoxifen 10 mg | Description: Tamoxifen citrate, oral, 10 mg |
| S0189 | Testosterone pellet 75 mg | Description: Testosterone pellet, 75 mg |
| S0190 | Mifepristone, oral, 200 mg | Description: Mifepristone, oral, 200 mg |
| S0191 | Misoprostol, oral, 200 mcg | Description: Misoprostol, oral, 200 mcg |
| S0194 | Vitamin suppl 100 caps | Description: Dialysis/stress vitamin supplement, oral, 100 capsules |
| S0197 | Prenatal vitamins 30 day | Description: Prenatal vitamins, 30-day supply |
| S0199 | Med abortion inc all ex drug | Description: Medically induced abortion by oral ingestion of medication including all associated services and supplies (e.g., patient counseling, office visits, confirmation of pregnancy by hcg, ultrasound to confirm duration of pregnancy, ultrasound to confirm completion of abortion) except drugs |
| S0201 | Partial hospitalization serv | Description: Partial hospitalization services, less than 24 hours, per diem |
| S0207 | Paramedicintercep nonhospals | Description: Paramedic intercept, non-hospital-based als service (non-voluntary), non-transport |
| S0208 | Paramed intrcept nonvol | Description: Paramedic intercept, hospital-based als service (non-voluntary), non-transport |
| S0209 | Wc van mileage per mi | Description: Wheelchair van, mileage, per mile |
| S0215 | Nonemerg transp mileage | Description: Non-emergency transportation; mileage, per mile |
| S0220 | Medical conference by physic | Description: Medical conference by a physician with interdisciplinary team of health professionals or representatives of community agencies to coordinate activities of patient care (patient is present); approximately 30 minutes |
| S0221 | Medical conference, 60 min | Description: Medical conference by a physician with interdisciplinary team of health professionals or representatives of community agencies to coordinate activities of patient care (patient is present); approximately 60 minutes |
| S0250 | Comp geriatr assmt team | Description: Comprehensive geriatric assessment and treatment planning performed by assessment team |
| S0255 | Hospice refer visit nonmd | Description: Hospice referral visit (advising patient and family of care options) performed by nurse, social worker, or other designated staff |
| S0257 | End of life counseling | Description: Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service) |
| S0260 | H&p for surgery | Description: History and physical (outpatient or office) related to surgical procedure (list separately in addition to code for appropriate evaluation and management service) |
| S0265 | Genetic counsel 15 mins | Description: Genetic counseling, under physician supervision, each 15 minutes |
| S0270 | Home std case rate 30 days | Description: Physician management of patient home care, standard monthly case rate (per 30 days) |
| S0271 | Home hospice case 30 days | Description: Physician management of patient home care, hospice monthly case rate (per 30 days) |
| S0272 | Home episodic case 30 days | Description: Physician management of patient home care, episodic care monthly case rate (per 30 days) |
| S0273 | Md home visit outside cap | Description: Physician visit at member's home, outside of a capitation arrangement |