HCPCS Level II › Q codes Q0114 Fern testFern test
Medicare coverage: Carrier judgment Status: active (October 2026 file) Medically Unlikely Edits (effective October 1, 2026) Practitioner: max 1 units per day (clinical), rationale: Nature of Analyte Outpatient hospital: max 1 units per day (clinical), rationale: Nature of Analyte DME supplier: max 0 units per day (clinical), rationale: CMS Policy Medicare pricing for Q0114 Physician Fee Schedule (CY 2026, RVU26D) Status X: statutory exclusion, not paid under the PFS.
Payer policies and prior authorization for Q0114 Medicaid fee-for-service AZ: $9.74 (lab), effective Oct 1, 2026 CO: $8.28 (lab_cdl), effective Apr 1, 2026 FL: $4.54 (physician, non-facility), effective Jan 1, 2026 IN: $8.28 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2015 KY: $9.74 (lab), effective Jan 1, 2026 MS: $8.77 (comprehensive), effective Jul 1, 2026 ND: $9.74 (physician), effective Aug 1, 2026 OH: $7.31 (lab), effective Apr 1, 2019 OK: $8.66 (physician, non-facility), effective Jul 1, 2026 VA: $9.25 (medical), effective Jan 1, 1994 VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $7.79 (physician, facility), effective Jul 1, 2026 WY: $8.47 (professional), effective Jan 1, 2021 From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.