HCPCS Q codes

• Q0035 Cardiokymography
• Q0081 Infusion therapy, using other than chemotherapeutic drugs, per visit
• Q0083 Chemotherapy administration by other than infusion technique only (e.g., subcutaneous, intramuscular, push), per visit
• Q0084 Chemotherapy administration by infusion technique only, per visit
• Q0085 Chemotherapy administration by both infusion technique and other technique(s) (e.g., subcutaneous, intramuscular, push), per visit
• Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory
• Q0092 Set-up portable x-ray equipment
• Q0111 Wet mounts, including preparations of vaginal, cervical or skin specimens
• Q0112 All potassium hydroxide (koh) preparations
• Q0113 Pinworm examinations
• Q0114 Fern test
• Q0115 Post-coital direct, qualitative examinations of vaginal or cervical mucous
• Q0138 Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use)
• Q0139 Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (for esrd on dialysis)
• Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram
• Q0155 Dronabinol (syndros), 0.1 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
• Q0161 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 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 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, 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 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, 2.5 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 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 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 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, 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, 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, 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 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 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 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 Injection, bebtelovimab, 175 mg
• Q0224 Injection, pemivibart, for the pre-exposure prophylaxis only, for certain adults and adolescents (12 years of age and older weighing at least 40 kg) with no known sars-cov-2 exposure, and who either have moderate-to-severe immune compromise due to a medical condition or receipt of immunosuppressive medications or treatments, and are unlikely to mount an adequate immune response to covid-19 vaccination, 4500 mg
• Q0234 Injection, tocilizumab-bavi, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation only, 1 mg
• Q0235 Injection, monoclonal antibody products with an indication for post-exposure prophylaxis or treatment of covid-19, for hospitalized adults and/or pediatric patients who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, not otherwise classified, 1 mg
• Q0237 Injection, tocilizumab-anoh, for hospitalized adult patients 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
• Q0238 Injection, tocilizumab-aazg, for hospitalized adult patients 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
• Q0239 Injection, bamlanivimab-xxxx, 700 mg
• Q0240 Injection, casirivimab and imdevimab, 600 mg
• Q0243 Injection, casirivimab and imdevimab, 2400 mg
• Q0244 Injection, casirivimab and imdevimab, 1200 mg
• Q0245 Injection, bamlanivimab and etesevimab, 2100 mg
• Q0247 Injection, sotrovimab, 500 mg
• Q0249 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 Power module patient cable for use with electric or electric/pneumatic ventricular assist device, replacement only
• Q0478 Power adapter for use with electric or electric/pneumatic ventricular assist device, vehicle type
• Q0479 Power module for use with electric or electric/pneumatic ventricular assist device, replacement only
• Q0480 Driver for use with pneumatic ventricular assist device, replacement only
• Q0481 Microprocessor control unit for use with electric ventricular assist device, replacement only
• Q0482 Microprocessor control unit for use with electric/pneumatic combination ventricular assist device, replacement only
• Q0483 Monitor/display module for use with electric ventricular assist device, replacement only
• Q0484 Monitor/display module for use with electric or electric/pneumatic ventricular assist device, replacement only
• Q0485 Monitor control cable for use with electric ventricular assist device, replacement only
• Q0486 Monitor control cable for use with electric/pneumatic ventricular assist device, replacement only
• Q0487 Leads (pneumatic/electrical) for use with any type electric/pneumatic ventricular assist device, replacement only
• Q0488 Power pack base for use with electric ventricular assist device, replacement only
• Q0489 Power pack base for use with electric/pneumatic ventricular assist device, replacement only
• Q0490 Emergency power source for use with electric ventricular assist device, replacement only
• Q0491 Emergency power source for use with electric/pneumatic ventricular assist device, replacement only
• Q0492 Emergency power supply cable for use with electric ventricular assist device, replacement only
• Q0493 Emergency power supply cable for use with electric/pneumatic ventricular assist device, replacement only
• Q0494 Emergency hand pump for use with electric or electric/pneumatic ventricular assist device, replacement only
• Q0495 Battery/power pack charger for use with electric or electric/pneumatic ventricular assist device, replacement only
• Q0496 Battery, other than lithium-ion, for use with electric or electric/pneumatic ventricular assist device, replacement only
• Q0497 Battery clips for use with electric or electric/pneumatic ventricular assist device, replacement only
• Q0498 Holster for use with electric or electric/pneumatic ventricular assist device, replacement only
• Q0499 Belt/vest/bag for use to carry external peripheral components of any type ventricular assist device, replacement only
• Q0500 Filters for use with electric or electric/pneumatic ventricular assist device, replacement only
• Q0501 Shower cover for use with electric or electric/pneumatic ventricular assist device, replacement only
• Q0502 Mobility cart for pneumatic ventricular assist device, replacement only
• Q0503 Battery for pneumatic ventricular assist device, replacement only, each
• Q0504 Power adapter for pneumatic ventricular assist device, replacement only, vehicle type
• Q0506 Battery, lithium-ion, for use with electric or electric/pneumatic ventricular assist device, replacement only
• Q0507 Miscellaneous supply or accessory for use with an external ventricular assist device
• Q0508 Miscellaneous supply or accessory for use with an implanted ventricular assist device
• Q0509 Miscellaneous supply or accessory for use with any implanted ventricular assist device for which payment was not made under medicare part a
• Q0510 Pharmacy supply fee for initial immunosuppressive drug(s), first month following transplant
• Q0511 Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period
• Q0512 Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period
• Q0513 Pharmacy dispensing fee for inhalation drug(s); per 30 days
• Q0514 Pharmacy dispensing fee for inhalation drug(s); per 90 days
• Q0515 Injection, sermorelin acetate, 1 microgram
• Q0516 Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved prescription oral drug, per 30-days
• Q0517 Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved prescription oral drug, per 60-days
• Q0518 Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved prescription oral drug, per 90-days
• Q0519 Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved prescription injectable drug, per 30-days
• Q0520 Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved prescription injectable drug, per 60-days
• Q0521 Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved prescription
• Q1004 New technology intraocular lens category 4 as defined in federal register notice
• Q1005 New technology intraocular lens category 5 as defined in federal register notice
• Q2004 Irrigation solution for treatment of bladder calculi, for example renacidin, per 500 ml
• Q2009 Injection, fosphenytoin, 50 mg phenytoin equivalent
• Q2017 Injection, teniposide, 50 mg
• Q2026 Injection, radiesse, 0.1 ml
• Q2028 Injection, sculptra, 0.5 mg
• Q2034 Influenza virus vaccine, split virus, for intramuscular use (agriflu)
• Q2035 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria)
• Q2036 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval)
• Q2037 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin)
• Q2038 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone)
• Q2039 Influenza virus vaccine, not otherwise specified
• Q2040 Tisagenlecleucel, up to 250 million car-positive viable t cells, including leukapheresis and dose preparation procedures, per infusion
• Q2041 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, up to 600 million car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose
• Q2043 Sipuleucel-t, minimum of 50 million autologous cd54+ cells activated with pap-gm-csf, including leukapheresis and all other preparatory procedures, per infusion
• Q2049 Injection, doxorubicin hydrochloride, liposomal, imported lipodox, 10 mg
• Q2050 Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg
• Q2052 Services, supplies and accessories used in the home for the administration of intravenous immune globulin (ivig)
• Q2053 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 maraleucel, up to 110 million autologous anti-cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose
• Q2055 Idecabtagene vicleucel, up to 510 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose
• Q2056 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
• Q2057 Afamitresgene autoleucel, including leukapheresis and dose preparation procedures, per therapeutic dose
• Q2058 Obecabtagene autoleucel, 10 up to 400 million cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per infusion
• Q3001 Radioelements for brachytherapy, any type, each
• Q3014 Telehealth originating site facility fee
• Q3027 Injection, interferon beta-1a, 1 mcg for intramuscular use
• Q3028 Injection, interferon beta-1a, 1 mcg for subcutaneous use
• Q3031 Collagen skin test
• Q4001 Casting supplies, body cast adult, with or without head, plaster
• Q4002 Cast supplies, body cast adult, with or without head, fiberglass
• Q4003 Cast supplies, shoulder cast, adult (11 years +), plaster
• Q4004 Cast supplies, shoulder cast, adult (11 years +), fiberglass
• Q4005 Cast supplies, long arm cast, adult (11 years +), plaster
• Q4006 Cast supplies, long arm cast, adult (11 years +), fiberglass
• Q4007 Cast supplies, long arm cast, pediatric (0-10 years), plaster
• Q4008 Cast supplies, long arm cast, pediatric (0-10 years), fiberglass
• Q4009 Cast supplies, short arm cast, adult (11 years +), plaster
• Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass
• Q4011 Cast supplies, short arm cast, pediatric (0-10 years), plaster
• Q4012 Cast supplies, short arm cast, pediatric (0-10 years), fiberglass
• Q4013 Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), plaster
• Q4014 Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), fiberglass
• Q4015 Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), plaster
• Q4016 Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), fiberglass
• Q4017 Cast supplies, long arm splint, adult (11 years +), plaster
• Q4018 Cast supplies, long arm splint, adult (11 years +), fiberglass
• Q4019 Cast supplies, long arm splint, pediatric (0-10 years), plaster
• Q4020 Cast supplies, long arm splint, pediatric (0-10 years), fiberglass
• Q4021 Cast supplies, short arm splint, adult (11 years +), plaster
• Q4022 Cast supplies, short arm splint, adult (11 years +), fiberglass
• Q4023 Cast supplies, short arm splint, pediatric (0-10 years), plaster
• Q4024 Cast supplies, short arm splint, pediatric (0-10 years), fiberglass
• Q4025 Cast supplies, hip spica (one or both legs), adult (11 years +), plaster
• Q4026 Cast supplies, hip spica (one or both legs), adult (11 years +), fiberglass
• Q4027 Cast supplies, hip spica (one or both legs), pediatric (0-10 years), plaster
• Q4028 Cast supplies, hip spica (one or both legs), pediatric (0-10 years), fiberglass
• Q4029 Cast supplies, long leg cast, adult (11 years +), plaster
• Q4030 Cast supplies, long leg cast, adult (11 years +), fiberglass
• Q4031 Cast supplies, long leg cast, pediatric (0-10 years), plaster
• Q4032 Cast supplies, long leg cast, pediatric (0-10 years), fiberglass
• Q4033 Cast supplies, long leg cylinder cast, adult (11 years +), plaster
• Q4034 Cast supplies, long leg cylinder cast, adult (11 years +), fiberglass
• Q4035 Cast supplies, long leg cylinder cast, pediatric (0-10 years), plaster
• Q4036 Cast supplies, long leg cylinder cast, pediatric (0-10 years), fiberglass
• Q4037 Cast supplies, short leg cast, adult (11 years +), plaster
• Q4038 Cast supplies, short leg cast, adult (11 years +), fiberglass
• Q4039 Cast supplies, short leg cast, pediatric (0-10 years), plaster
• Q4040 Cast supplies, short leg cast, pediatric (0-10 years), fiberglass
• Q4041 Cast supplies, long leg splint, adult (11 years +), plaster
• Q4042 Cast supplies, long leg splint, adult (11 years +), fiberglass
• Q4043 Cast supplies, long leg splint, pediatric (0-10 years), plaster
• Q4044 Cast supplies, long leg splint, pediatric (0-10 years), fiberglass
• Q4045 Cast supplies, short leg splint, adult (11 years +), plaster
• Q4046 Cast supplies, short leg splint, adult (11 years +), fiberglass
• Q4047 Cast supplies, short leg splint, pediatric (0-10 years), plaster
• Q4048 Cast supplies, short leg splint, pediatric (0-10 years), fiberglass
• Q4049 Finger splint, static
• Q4050 Cast supplies, for unlisted types and materials of casts
• Q4051 Splint supplies, miscellaneous (includes thermoplastics, strapping, fasteners, padding and other supplies)
• Q4074 Iloprost, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 20 micrograms
• Q4081 Injection, epoetin alfa, 100 units (for esrd on dialysis)
• Q4082 Drug or biological, not otherwise classified, part b drug competitive acquisition program (cap)
• Q4100 Skin substitute, not otherwise specified
• Q4101 Apligraf, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4102 Oasis wound matrix, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4103 Oasis burn matrix, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4104 Integra bilayer matrix wound dressing (bmwd), per square centimeter (add-on, list separately in addition to primary procedure)
• Q4105 Integra dermal regeneration template (drt) or integra omnigraft dermal regeneration matrix, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4106 Dermagraft, per square centimeter
• Q4107 Graftjacket, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4108 Integra matrix, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4110 Primatrix, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4111 Gammagraft, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4112 Cymetra, injectable, 1 cc
• Q4113 Graftjacket xpress, injectable, 1 cc
• Q4114 Integra flowable wound matrix, injectable, 1 cc
• Q4115 Alloskin, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4116 Alloderm, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4117 Hyalomatrix, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4118 Matristem micromatrix, 1 mg
• Q4119 Matristem wound matrix, per square centimeter
• Q4120 Matristem burn matrix, per square centimeter
• Q4121 Theraskin, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4122 Dermacell, dermacell awm or dermacell awm porous, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4123 Alloskin rt, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4124 Oasis ultra tri-layer wound matrix, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4125 Arthroflex, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4126 Memoderm, dermaspan, tranzgraft or integuply, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4127 Talymed, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4128 Flex hd, or allopatch hd, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4129 Unite biomatrix, per square centimeter
• Q4130 Strattice tm, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4131 Epifix or epicord, per square centimeter
• Q4132 Grafix core and grafixpl core, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4133 Grafix prime, grafixpl prime, stravix and stravixpl, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4134 Hmatrix, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4135 Mediskin, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4136 Ez-derm, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4137 Amnioexcel, amnioexcel plus or biodexcel, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4138 Biodfence dryflex, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4139 Amniomatrix or biodmatrix, injectable, 1 cc
• Q4140 Biodfence, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4141 Alloskin ac, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4142 Xcm biologic tissue matrix, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4143 Repriza, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4145 Epifix, injectable, 1 mg
• Q4146 Tensix, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4147 Architect, architect px, or architect fx, extracellular matrix, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4148 Neox cord 1k, neox cord rt, or clarix cord 1k, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4149 Excellagen, 0.1 cc
• Q4150 Allowrap ds or dry, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4151 Amnioband or guardian, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4152 Dermapure, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4153 Dermavest and plurivest, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4154 Biovance, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4155 Neoxflo or clarixflo, 1 mg
• Q4156 Neox 100 or clarix 100, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4157 Revitalon, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4158 Kerecis omega3, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4159 Affinity, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4160 Nushield, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4161 Bio-connekt wound matrix, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4162 Woundex flow, bioskin flow, 0.5 cc
• Q4163 Woundex, bioskin, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4164 Helicoll, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4165 Keramatrix or kerasorb, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4166 Cytal, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4167 Truskin, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4168 Amnioband, 1 mg
• Q4169 Artacent wound, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4170 Cygnus, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4171 Interfyl, 1 mg
• Q4172 Puraply or puraply am, per square centimeter
• Q4173 Palingen or palingen xplus, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4174 Palingen or promatrx, 0.36 mg per 0.25 cc
• Q4175 Miroderm, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4176 Neopatch or therion, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4177 Floweramnioflo, 0.1 cc
• Q4178 Floweramniopatch, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4179 Flowerderm, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4180 Revita, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4181 Amnio wound, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4182 Transcyte, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4183 Surgigraft, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4184 Cellesta or cellesta duo, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4185 Cellesta flowable amnion (25 mg per cc); per 0.5 cc
• Q4186 Epifix, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4187 Epicord, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4188 Amnioarmor, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4189 Artacent ac, 1 mg
• Q4190 Artacent ac, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4191 Restorigin, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4192 Restorigin, 1 cc
• Q4193 Coll-e-derm, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4194 Novachor, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4195 Puraply, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4196 Puraply am, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4197 Puraply xt, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4198 Genesis amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4199 Cygnus matrix, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4200 Skin te, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4201 Matrion, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4202 Keroxx (2.5g/cc), 1cc
• Q4203 Derma-gide, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4204 Xwrap, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4205 Membrane graft or membrane wrap, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4206 Fluid flow or fluid gf, 1 cc
• Q4208 Novafix, per square cenitmeter (add-on, list separately in addition to primary procedure)
• Q4209 Surgraft, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4210 Axolotl graft or axolotl dualgraft, per square centimeter
• Q4211 Amnion bio or axobiomembrane, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4212 Allogen, per cc
• Q4213 Ascent, 0.5 mg
• Q4214 Cellesta cord, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4215 Axolotl ambient or axolotl cryo, 0.1 mg
• Q4216 Artacent cord, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4217 Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4218 Surgicord, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4219 Surgigraft-dual, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4220 Bellacell hd or surederm, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4221 Amniowrap2, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4222 Progenamatrix, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4224 Human health factor 10 amniotic patch (hhf10-p), per square centimeter (add-on, list separately in addition to primary procedure)
• Q4225 Amniobind or dermabind tl, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4226 Myown skin, includes harvesting and preparation procedures, per square centimeter
• Q4227 Amniocore, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4228 Bionextpatch, per square centimeter
• Q4229 Cogenex amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4230 Cogenex flowable amnion, per 0.5 cc
• Q4231 Corplex p, per cc
• Q4232 Corplex, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4233 Surfactor or nudyn, per 0.5 cc
• Q4234 Xcellerate, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4235 Amniorepair or altiply, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4236 Carepatch, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4237 Cryo-cord, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4238 Derm-maxx, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4239 Amnio-maxx or amnio-maxx lite, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4240 Corecyte, for topical use only, per 0.5 cc
• Q4241 Polycyte, for topical use only, per 0.5 cc
• Q4242 Amniocyte plus, per 0.5 cc
• Q4244 Procenta, per 200 mg
• Q4245 Amniotext, per cc
• Q4246 Coretext or protext, per cc
• Q4247 Amniotext patch, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4248 Dermacyte amniotic membrane allograft, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4249 Amniply, for topical use only, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4250 Amnioamp-mp, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4251 Vim, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4252 Vendaje, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4253 Zenith amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4254 Novafix dl, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4255 Reguard, for topical use only, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4256 Mlg-complete, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4257 Relese, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4258 Enverse, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4259 Celera dual layer or celera dual membrane, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4260 Signature apatch, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4261 Tag, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4262 Dual layer impax membrane, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4263 Surgraft tl, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4264 Cocoon membrane, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4265 Neostim tl, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4266 Neostim membrane, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4267 Neostim dl, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4268 Surgraft ft, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4269 Surgraft xt, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4270 Complete sl, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4271 Complete ft, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4272 Esano a, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4273 Esano aaa, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4274 Esano ac, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4275 Esano aca, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4276 Orion, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4277 Woundplus membrane or e-graft, per square centimeter
• Q4278 Epieffect, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4279 Vendaje ac, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4280 Xcell amnio matrix, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4281 Barrera sl or barrera dl, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4282 Cygnus dual, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4283 Biovance tri-layer or biovance 3l, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4284 Dermabind sl, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4285 Nudyn dl or nudyn dl mesh, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4286 Nudyn sl or nudyn slw, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4287 Dermabind dl, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4288 Dermabind ch, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4289 Revoshield + amniotic barrier, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4290 Membrane wrap-hydro, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4291 Lamellas xt, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4292 Lamellas, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4293 Acesso dl, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4294 Amnio quad-core, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4295 Amnio tri-core amniotic, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4296 Rebound matrix, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4297 Emerge matrix, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4298 Amniocore pro, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4299 Amniocore pro+, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4300 Acesso tl, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4301 Activate matrix, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4302 Complete aca, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4303 Complete aa, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4304 Grafix plus, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4305 American amnion ac tri-layer, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4306 American amnion ac, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4307 American amnion, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4308 Sanopellis, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4309 Via matrix, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4310 Procenta, per 100 mg
• Q4311 Acesso, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4312 Acesso ac, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4313 Dermabind fm, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4314 Reeva ft, per square cenitmeter (add-on, list separately in addition to primary procedure)
• Q4315 Regenelink amniotic membrane allograft, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4316 Amchoplast, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4317 Vitograft, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4318 E-graft, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4319 Sanograft, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4320 Pellograft, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4321 Renograft, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4322 Caregraft, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4323 Alloply, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4324 Amniotx, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4325 Acapatch, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4326 Woundplus, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4327 Duoamnion, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4328 Most, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4329 Singlay, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4330 Total, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4331 Axolotl graft, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4332 Axolotl dualgraft, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4333 Ardeograft, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4334 Amnioplast 1, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4335 Amnioplast 2, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4336 Artacent c, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4337 Artacent trident, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4338 Artacent velos, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4339 Artacent vericlen, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4340 Simpligraft, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4341 Simplimax, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4342 Theramend, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4343 Dermacyte ac matrix amniotic membrane allograft, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4344 Tri-membrane wrap, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4345 Matrix hd allograft dermis, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4346 Shelter dm matrix, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4347 Rampart dl matrix, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4348 Sentry sl matrix, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4349 Mantle dl matrix, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4350 Palisade dm matrix, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4351 Enclose tl matrix, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4352 Overlay sl matrix, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4353 Xceed tl matrix, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4354 Palingen dual-layer membrane and dual-layer palingen x-membrane, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4355 Abiomend xplus membrane and abiomend xplus hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4356 Abiomend membrane and abiomend hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4357 Xwrap plus, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4358 Xwrap dual, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4359 Choriply, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4360 Amchoplast fd, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4361 Epixpress, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4362 Cygnus disk, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4363 Amnio burgeon membrane and hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4364 Amnio burgeon xplus membrane and xplus hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4365 Amnio burgeon dual-layer membrane, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4366 Dual layer amnio burgeon x-membrane, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4367 Amniocore sl, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4368 Amchothick, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4369 Amnioplast 3, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4370 Aeroguard, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4371 Neoguard, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4372 Amchoplast excel, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4373 Membrane wrap lite, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4375 Duograft ac, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4376 Duograft aa, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4377 Trigraft ft, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4378 Renew ft matrix, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4379 Amniodefend ft matrix, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4380 Advograft one, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4382 Advograft dual, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4383 Axolotl graft ultra, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4384 Axolotl dualgraft ultra, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4385 Apollo ft, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4386 Acesso trifaca, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4387 Neothelium ft, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4388 Neothelium 4l, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4389 Neothelium 4l+, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4390 Ascendion, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4391 Amnioplast double, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4392 Grafix duo, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4393 Surgraft ac, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4394 Surgraft aca, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4395 Acelagraft, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4396 Natalin, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4397 Summit aaa, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4398 Summit ac, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4399 Summit fx, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4400 Polygon3 membrane, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4401 Absolv3 membrane, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4402 Xwrap 2.0, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4403 Xwrap dual plus, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4404 Xwrap hydro plus, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4405 Xwrap fenestra plus, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4406 Xwrap fenestra, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4407 Xwrap tribus, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4408 Xwrap hydro, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4409 Amniomatrixf3x, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4410 Amchomatrixdl, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4411 Amniomatrixf4x, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4412 Choriofix, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4413 Cygnus solo, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4414 Simplichor, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4415 Alexiguard sl-t, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4416 Alexiguard tl-t, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4417 Alexiguard dl-t, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4418 Biolab membrane wrap flow, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4419 Biolab membrane wrap lite flow, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4420 Nuform, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4421 Biolab membrane wrap solo, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4422 A/c wrap, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4423 Biolab tri-membrane wrap flow, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4424 Revive ft, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4425 Revive tl, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4426 Dermabind tl + or dermabind tl x, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4427 Dermabind dl n or dermabind dl + or dermabind dl x, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4428 Dermabind sl n or dermabind sl + or dermabind sl x, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4429 Dermabind ch n or dermabind ch x, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4431 Pma skin substitute product, not otherwise specified (list in addition to primary procedure)
• Q4432 510(k) skin substitute product, not otherwise specified (list in addition to primary procedure)
• Q4433 361 hct/p skin substitute product, not otherwise specified (list in addition to primary procedure)
• Q4435 Renati membrane, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4436 Renati ac membrane, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4437 Revival ac, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4438 Pretect, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4439 Instagraft, per square centimeter (add-on, list separately in addition to primary procedure)
• Q4440 Curamatrix, per square centimeter (add-on, list separately in addition to primary procedure)
• Q5001 Hospice or home health care provided in patient's home/residence
• Q5002 Hospice or home health care provided in assisted living facility
• Q5003 Hospice care provided in nursing long term care facility (ltc) or non-skilled nursing facility (nf)
• Q5004 Hospice care provided in skilled nursing facility (snf)
• Q5005 Hospice care provided in inpatient hospital
• Q5006 Hospice care provided in inpatient hospice facility
• Q5007 Hospice care provided in long term care facility
• Q5008 Hospice care provided in inpatient psychiatric facility
• Q5009 Hospice or home health care provided in place not otherwise specified (nos)
• Q5010 Hospice home care provided in a hospice facility
• Q5098 Injection, ustekinumab-srlf (imuldosa), biosimilar, 1 mg
• Q5099 Injection, ustekinumab-stba (steqeyma), biosimilar, 1 mg
• Q5100 Injection, ustekinumab-kfce (yesintek), biosimilar, 1 mg
• Q5101 Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram
• Q5102 Injection, infliximab, biosimilar, 10 mg
• Q5103 Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg
• Q5104 Injection, infliximab-abda, biosimilar, (renflexis), 10 mg
• Q5105 Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units
• Q5106 Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units
• Q5107 Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg
• Q5108 Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg
• Q5109 Injection, infliximab-qbtx, biosimilar, (ixifi), 10 mg
• Q5110 Injection, filgrastim-aafi, biosimilar, (nivestym), 1 microgram
• Q5111 Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg
• Q5112 Injection, trastuzumab-dttb, biosimilar, (ontruzant), 10 mg
• Q5113 Injection, trastuzumab-pkrb, biosimilar, (herzuma), 10 mg
• Q5114 Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg
• Q5115 Injection, rituximab-abbs, biosimilar, (truxima), 10 mg
• Q5116 Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg
• Q5117 Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg
• Q5118 Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg
• Q5119 Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg
• Q5120 Injection, pegfilgrastim-bmez (ziextenzo), biosimilar, 0.5 mg
• Q5121 Injection, infliximab-axxq, biosimilar, (avsola), 10 mg
• Q5122 Injection, pegfilgrastim-apgf (nyvepria), biosimilar, 0.5 mg
• Q5123 Injection, rituximab-arrx, biosimilar, (riabni), 10 mg
• Q5124 Injection, ranibizumab-nuna, biosimilar, (byooviz), 0.1 mg
• Q5125 Injection, filgrastim-ayow, biosimilar, (releuko), 1 microgram
• Q5126 Injection, bevacizumab-maly, biosimilar, (alymsys), 10 mg
• Q5127 Injection, pegfilgrastim-fpgk (stimufend), biosimilar, 0.5 mg
• Q5128 Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg
• Q5129 Injection, bevacizumab-adcd (vegzelma), biosimilar, 10 mg
• Q5130 Injection, pegfilgrastim-pbbk (fylnetra), biosimilar, 0.5 mg
• Q5131 Injection, adalimumab-aacf (idacio), biosimilar, 20 mg
• Q5132 Injection, adalimumab-afzb (abrilada), biosimilar, 10 mg
• Q5133 Injection, tocilizumab-bavi (tofidence), biosimilar, 1 mg
• Q5134 Injection, natalizumab-sztn (tyruko), biosimilar, 1 mg
• Q5135 Injection, tocilizumab-aazg (tyenne), biosimilar, 1 mg
• Q5136 Injection, denosumab-bbdz (jubbonti/wyost), biosimilar, 1 mg
• Q5137 Injection, ustekinumab-auub (wezlana), biosimilar, subcutaneous, 1 mg
• Q5138 Injection, ustekinumab-auub (wezlana), biosimilar, intravenous, 1 mg
• Q5139 Injection, eculizumab-aeeb (bkemv), biosimilar, 10 mg
• Q5140 Injection, adalimumab-fkjp, biosimilar, 1 mg
• Q5141 Injection, adalimumab-aaty, biosimilar, 1 mg
• Q5142 Injection, adalimumab-ryvk biosimilar, 1 mg
• Q5143 Injection, adalimumab-adbm, biosimilar, 1 mg
• Q5144 Injection, adalimumab-aacf (idacio), biosimilar, 1 mg
• Q5145 Injection, adalimumab-afzb (abrilada), biosimilar, 1 mg
• Q5146 Injection, trastuzumab-strf (hercessi), biosimilar, 10 mg
• Q5147 Injection, aflibercept-ayyh (pavblu), biosimilar, 1 mg
• Q5148 Injection, filgrastim-txid (nypozi), biosimilar, 1 microgram
• Q5149 Injection, aflibercept-abzv (enzeevu), biosimilar, 1 mg
• Q5150 Injection, aflibercept-mrbb (ahzantive), biosimilar, 1 mg
• Q5151 Injection, eculizumab-aagh (epysqli), biosimilar, 2 mg
• Q5152 Injection, eculizumab-aeeb (bkemv), biosimilar, 2 mg
• Q5153 Injection, aflibercept-yszy (opuviz), biosimilar, 1 mg
• Q5154 Injection, omalizumab-igec (omlyclo), biosimilar, 5 mg
• Q5155 Injection, aflibercept-jbvf (yesafili), biosimilar, 1 mg
• Q5156 Injection, tocilizumab-anoh (avtozma), biosimilar, 1 mg
• Q5157 Injection, denosumab-bmwo (stoboclo/osenvelt), biosimilar, 1 mg
• Q5158 Injection, denosumab-bnht (bomyntra/conexxence), biosimilar, 1 mg
• Q5159 Injection, denosumab-dssb (ospomyv/xbryk), biosimilar, 1 mg
• Q5160 Injection, bevacizumab-nwgd (jobevne), biosimilar, 10 mg
• Q5161 Injection, denosumab-kyqq (aukelso/bosaya), biosimilar, 1 mg
• Q5162 Injection, denosumab-nxxp (bildyos/bilprevda), biosimilar, 1 mg
• Q5164 Injection, ustekinumab-hmny (starjemza), biosimilar, 1 mg
• Q5165 Injection, denosumab-mobz (oziltus), biosimilar, 1 mg
• Q5166 Injection, denosumab-desu (osvyrti/jubereq), biosimilar, 1 mg
• Q5167 Injection, denosumab-qbde (enoby/xtrenbo), biosimilar, 1 mg
• Q5168 Injection, ranibizumab-leyk (nufymco), biosimilar, 0.1 mg
• Q5169 Injection, pegfilgrastim-unne (armlupeg), biosimilar, 0.5 mg
• Q5170 Injection, aflibercept-boav (eydenzelt), biosimilar, 1 mg
• Q5171 Injection, denosumab-mobz (boncresa), biosimilar, 1 mg
• Q9001 Assessment by chaplain services
• Q9002 Counseling, individual, by chaplain services
• Q9003 Counseling, group, by chaplain services
• Q9004 Department of veterans affairs whole health partner services
• Q9950 Injection, sulfur hexafluoride lipid microspheres, per ml
• Q9951 Low osmolar contrast material, 400 or greater mg/ml iodine concentration, per ml
• Q9953 Injection, iron-based magnetic resonance contrast agent, per ml
• Q9954 Oral magnetic resonance contrast agent, per 100 ml
• Q9955 Injection, perflexane lipid microspheres, per ml
• Q9956 Injection, octafluoropropane microspheres, per ml
• Q9957 Injection, perflutren lipid microspheres, per ml
• Q9958 High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml
• Q9959 High osmolar contrast material, 150-199 mg/ml iodine concentration, per ml
• Q9960 High osmolar contrast material, 200-249 mg/ml iodine concentration, per ml
• Q9961 High osmolar contrast material, 250-299 mg/ml iodine concentration, per ml
• Q9962 High osmolar contrast material, 300-349 mg/ml iodine concentration, per ml
• Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml
• Q9964 High osmolar contrast material, 400 or greater mg/ml iodine concentration, per ml
• Q9965 Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml
• Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml
• Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml
• Q9968 Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg
• Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose
• Q9970 Injection, ferric carboxymaltose, 1mg
• Q9972 Injection, epoetin beta, 1 microgram, (for esrd on dialysis)
• Q9973 Injection, epoetin beta, 1 microgram, (non-esrd use)
• Q9974 Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg
• Q9975 Injection, factor viii fc fusion protein (recombinant), per iu
• Q9976 Injection, ferric pyrophosphate citrate solution, 0.1 mg of iron
• Q9977 Compounded drug, not otherwise classified
• Q9978 Netupitant 300 mg and palonosetron 0.5 mg
• Q9979 Injection, alemtuzumab, 1 mg
• Q9980 Hyaluronan or derivative, genvisc 850, for intra-articular injection, 1 mg
• Q9981 Rolapitant, oral, 1 mg
• Q9982 Flutemetamol f18, diagnostic, per study dose, up to 5 millicuries
• Q9983 Florbetaben f18, diagnostic, per study dose, up to 8.1 millicuries
• Q9984 Levonorgestrel-releasing intrauterine contraceptive system (kyleena), 19.5 mg
• Q9985 Injection, hydroxyprogesterone caproate, not otherwise specified, 10 mg
• Q9986 Injection, hydroxyprogesterone caproate, (makena), 10 mg
• Q9987 Pathogen(s) test for platelets
• Q9988 Platelets, pheresis, pathogen-reduced, each unit
• Q9989 Ustekinumab, for intravenous injection, 1 mg
• Q9991 Injection, buprenorphine extended-release (sublocade), less than or equal to 100 mg
• Q9992 Injection, buprenorphine extended-release (sublocade), greater than 100 mg
• Q9993 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg
• Q9994 In-line cartridge containing digestive enzyme(s) for enteral feeding, each
• Q9995 Injection, emicizumab-kxwh, 0.5 mg
• Q9996 Injection, ustekinumab-ttwe (pyzchiva), subcutaneous, 1 mg
• Q9997 Injection, ustekinumab-ttwe (pyzchiva), intravenous, 1 mg
• Q9998 Injection, ustekinumab-aekn (selarsdi), biosimilar, 1 mg
• Q9999 Injection, ustekinumab-aauz (otulfi), biosimilar, 1 mg