Table of content for "Iloprost non-comp unit dose" (HCPCS Q4074)
General information on the “Q4074” code
HCPCS Code: Q4074
Long Description: Iloprost, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 20 micrograms
Short Description: Iloprost non-comp unit dose
Original information is taken from Q4074 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: C – Carrier judgment
Type of service
Berenson-Eggers Type of Service (BETOS): D1G – Drugs Administered through DME
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: 20100101
Code Effective Date: 20100101
Action Code: N – No maintenance for this code