HCPCS Level II › Q codes Q0514 Disp fee inhal drugs/90 daysPharmacy dispensing fee for inhalation drug(s); per 90 days
Medicare coverage: Special coverage instructions apply Status: active (October 2026 file) Medically Unlikely Edits (effective October 1, 2026) Practitioner: max 0 units per day (clinical), rationale: CMS Policy Outpatient hospital: max 1 units per day (policy), rationale: Code Descriptor / CPT Instruction DME supplier: max 1 units per day (policy), rationale: Code Descriptor / CPT Instruction Medicare pricing for Q0514 Physician Fee Schedule (CY 2026, RVU26D) Status E: excluded from the PFS by regulation.
Payer policies and prior authorization for Q0514 Medicaid fee-for-service Prior authorization required or conditional in IN.
CO: $17.30 (health_first_colorado), effective Jul 1, 2026 MA: $56.10 (dme_rates), effective Mar 1, 2026 ND: $66.00 (physician), effective Aug 1, 2026 VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026 WY: $0.00 (outpatient_hospital_apc, Children's Hospitals), effective Apr 1, 2026 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.