Table of content for "Epoetin alfa, 100 units esrd" (HCPCS Q4081)
General information on the “Q4081” code
HCPCS Code: Q4081
Long Description: Injection, epoetin alfa, 100 units (for esrd on dialysis)
Short Description: Epoetin alfa, 100 units esrd
Original information is taken from Q4081 page
Pricing indicators
Pricing Indicator Code 1: 57 – Other carrier priced
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
Type of service
Berenson-Eggers Type of Service (BETOS): O1E – Other drugs
Type Of Service 1: 1 – Medical care
Type Of Service 2: L – ESRD supplies (eff 04/95) (renal supplier in the home before 04/95)
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 20070101
Code Effective Date: 20070101
Action Code: N – No maintenance for this code