Table of content for "Bladder calculi irrig sol" (HCPCS Q2004)
General information on the “Q2004” code
HCPCS Code: Q2004
Long Description: Irrigation solution for treatment of bladder calculi, for example renacidin, per 500 ml
Short Description: Bladder calculi irrig sol
Original information is taken from Q2004 page
Pricing indicators
Pricing Indicator Code 1: 51 – Drugs
Multiple Pricing Indicator Code A : Not applicable as HCPCS priced under one methodology
Certification and additional reference information
Coverage
Coverage: D – Special coverage instructions apply
ASC Payment Group: YY
ASC Payment Group Effective Date: 20240101
Type of service
Berenson-Eggers Type of Service (BETOS): O1E – Other drugs
Type Of Service 1: 1 – Medical care
Type Of Service 2: P – Lump sum purchase of DME, prosthetics, orthotics
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 20000701
Code Effective Date: 20240101
Action Code: N – No maintenance for this code