Showing codes Q9979 (Injection, alemtuzumab, 1 mg) — QM (Ambulance service provided under arrangement by a provider of services)

Q9979 - Injection, alemtuzumab
Long description: Injection, alemtuzumab, 1 mg
Code added date: 20151001.
Code effective date: 20160101.
Pricing Indicator Code(s): 51 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
HTML    PDF

Q9980 - Genvisc, inj, 1mg
Long description: Hyaluronan or derivative, genvisc 850, for intra-articular injection, 1 mg
Code added date: 20160101.
Code effective date: 20170101.
Pricing Indicator Code(s): 51 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
HTML    PDF

Q9981 - Rolapitant, oral, 1mg
Long description: Rolapitant, oral, 1 mg
Code added date: 20160701.
Code effective date: 20170101.
Pricing Indicator Code(s): 51 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
HTML    PDF

Q9982 - Flutemetamol f18 diagnostic
Long description: Flutemetamol f18, diagnostic, per study dose, up to 5 millicuries
Code added date: 20160701.
Code effective date: 20190101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
HTML    PDF

Q9983 - Florbetaben f18 diagnostic
Long description: Florbetaben f18, diagnostic, per study dose, up to 8.1 millicuries
Code added date: 20160701.
Code effective date: 20190101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
HTML    PDF

Q9984 - Kyleena, 19.5 mg
Long description: Levonorgestrel-releasing intrauterine contraceptive system (kyleena), 19.5 mg
Code added date: 20170701.
Code effective date: 20180101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: S (A code denoting Medicare coverage status).
HTML    PDF

Q9985 - Inj hydroxyprogst capoat nos
Long description: Injection, hydroxyprogesterone caproate, not otherwise specified, 10 mg
Code added date: 20170701.
Code effective date: 20180101.
Pricing Indicator Code(s): 51 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
HTML    PDF

Q9986 - Makena, 10 mg
Long description: Injection, hydroxyprogesterone caproate, (makena), 10 mg
Code added date: 20170701.
Code effective date: 20180101.
Pricing Indicator Code(s): 51 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
HTML    PDF

Q9987 - Pathogen test for platelets
Long description: Pathogen(s) test for platelets
Code added date: 20170701.
Code effective date: 20180101.
Pricing Indicator Code(s): 57 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
HTML    PDF

Q9988 - Platelets, pathogen reduced
Long description: Platelets, pheresis, pathogen-reduced, each unit
Code added date: 20170701.
Code effective date: 20180101.
Pricing Indicator Code(s): 52 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
HTML    PDF

Q9989 - Ustekinumab, iv inject,1 mg
Long description: Ustekinumab, for intravenous injection, 1 mg
Code added date: 20170701.
Code effective date: 20180101.
Pricing Indicator Code(s): 51 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
HTML    PDF

Q9991 - Buprenorph xr 100 mg or less
Long description: Injection, buprenorphine extended-release (sublocade), less than or equal to 100 mg
Code added date: 20180701.
Code effective date: 20180701.
Pricing Indicator Code(s): 51 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
HTML    PDF

Q9992 - Buprenorphine xr over 100 mg
Long description: Injection, buprenorphine extended-release (sublocade), greater than 100 mg
Code added date: 20180701.
Code effective date: 20180701.
Pricing Indicator Code(s): 51 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
HTML    PDF

Q9993 - Inj., triamcinolone ext rel
Long description: Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg
Code added date: 20180701.
Code effective date: 20190101.
Pricing Indicator Code(s): 51 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
HTML    PDF

Q9994 - Enzyme cartridge enteral nut
Long description: In-line cartridge containing digestive enzyme(s) for enteral feeding, each
Code added date: 20180701.
Code effective date: 20190101.
Pricing Indicator Code(s): 39 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
HTML    PDF

Q9995 - Inj., emicizumab-kxwh 0.5 mg
Long description: Injection, emicizumab-kxwh, 0.5 mg
Code added date: 20180701.
Code effective date: 20190101.
Pricing Indicator Code(s): 51 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
HTML    PDF

Q9996 - Ustekinumab- ttwe sub cu inj
Long description: Injection, ustekinumab-ttwe (pyzchiva), subcutaneous, 1 mg
Code added date: 20250101.
Code effective date: 20250101.
Pricing Indicator Code(s): 51 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
HTML    PDF

Q9997 - Ustekinumab-ttwe iv inj 1 mg
Long description: Injection, ustekinumab-ttwe (pyzchiva), intravenous, 1 mg
Code added date: 20250101.
Code effective date: 20250101.
Pricing Indicator Code(s): 51 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
HTML    PDF

Q9998 - Ustekinumab-aekn inj
Long description: Injection, ustekinumab-aekn (selarsdi), 1 mg
Code added date: 20250101.
Code effective date: 20250101.
Pricing Indicator Code(s): 51 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
HTML    PDF

QA - Avg sta day/night o2 < 1 lpm
Long description: Prescribed amounts of stationary oxygen for daytime use while at rest and nighttime use differ and the average of the two amounts is less than 1 liter per minute (lpm)
Code added date: 20180401.
Code effective date: 20180401.
Coverage Code: C (A code denoting Medicare coverage status).
HTML    PDF

QB - Avg day/nite o2 > 4 lpm/port
Long description: Prescribed amounts of stationary oxygen for daytime use while at rest and nighttime use differ and the average of the two amounts exceeds 4 liters per minute (lpm) and portable oxygen is prescribed
Code added date: 20180401.
Code effective date: 20180401.
Coverage Code: C (A code denoting Medicare coverage status).
HTML    PDF

QC - Single channel monitoring
Long description: Single channel monitoring
Code added date: 19890101.
Code effective date: 19970101.
Coverage Code: C (A code denoting Medicare coverage status).
HTML    PDF

QD - Rcrdg/strg in sld st memory
Long description: Recording and storage in solid state memory by a digital recorder
Code added date: 19890101.
Code effective date: 19970101.
Coverage Code: C (A code denoting Medicare coverage status).
HTML    PDF

QE - Stationary o2 @ rest <1 lpm
Long description: Prescribed amount of stationary oxygen while at rest is less than 1 liter per minute (lpm)
Code added date: 19890101.
Code effective date: 20180401.
Coverage Code: C (A code denoting Medicare coverage status).
HTML    PDF

QF - Station o2 @ rest >4lpm/port
Long description: Prescribed amount of stationary oxygen while at rest exceeds 4 liters per minute (lpm) and portable oxygen is prescribed
Code added date: 19890101.
Code effective date: 20180401.
Coverage Code: C (A code denoting Medicare coverage status).
HTML    PDF

QG - Station o2 @ rest > 4 lpm
Long description: Prescribed amount of stationary oxygen while at rest is greater than 4 liters per minute (lpm)
Code added date: 19890101.
Code effective date: 20180401.
Coverage Code: C (A code denoting Medicare coverage status).
HTML    PDF

QH - Oxygen cnsrvg dvc w del sys
Long description: Oxygen conserving device is being used with an oxygen delivery system
Code added date: 19890101.
Code effective date: 19970101.
Coverage Code: C (A code denoting Medicare coverage status).
HTML    PDF

QJ - Patient in state/locl custod
Long description: Services/items provided to a prisoner or patient in state or local custody, however the state or local government, as applicable, meets the requirements in 42 cfr 411.4 (b)
Code added date: 20030101.
Code effective date: 20030101.
Coverage Code: D (A code denoting Medicare coverage status).
HTML    PDF

QK - Med dir 2-4 cncrnt anes proc
Long description: Medical direction of two, three, or four concurrent anesthesia procedures involving qualified individuals
Code added date: 19950101.
Code effective date: 20010101.
Coverage Code: D (A code denoting Medicare coverage status).
HTML    PDF

QL - Patient died after amb call
Long description: Patient pronounced dead after ambulance called
Code added date: 19990101.
Code effective date: 19990101.
Coverage Code: C (A code denoting Medicare coverage status).
HTML    PDF

QM - Ambulance arr by provider
Long description: Ambulance service provided under arrangement by a provider of services
Code added date: 19960101.
Code effective date: 19990101.
Coverage Code: C (A code denoting Medicare coverage status).
HTML    PDF