HCPCS 2014

Q0035 Cardiokymography
Q0081 Infusion therapy, using other than chemotherapeutic drugs, per visit
Q0083 Chemotherapy administration by other than infusion technique only (eg subcutaneous, intramuscular, push), per visit
Q0084 Chemotherapy administration by infusion technique only, per visit
Q0085 Chemotherapy administration by both infusion technique and other techique(s) (eg 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
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
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
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
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
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, split virus, when administered to individuals 3 years of age and older, for intramuscular use (not otherwise specified)
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
Q3001 Radioelements for brachytherapy, any type, each
Q3014 Telehealth originating site facility fee
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
Q4102 Oasis wound matrix, per square centimeter
Q4103 Oasis burn matrix, per square centimeter
Q4104 Integra bilayer matrix wound dressing (bmwd), per square centimeter
Q4105 Integra dermal regeneration template (drt), per square centimeter
Q4106 Dermagraft, per square centimeter
Q4107 Graftjacket, per square centimeter
Q4108 Integra matrix, per square centimeter
Q4110 Primatrix, per square centimeter
Q4111 Gammagraft, per square centimeter
Q4112 Cymetra, injectable, 1cc
Q4113 Graftjacket xpress, injectable, 1cc
Q4114 Integra flowable wound matrix, injectable, 1cc
Q4115 Alloskin, per square centimeter
Q4116 Alloderm, per square centimeter
Q4117 Hyalomatrix, per square centimeter
Q4118 Matristem micromatrix, 1 mg
Q4119 Matristem wound matrix, psmx, rs, or psm, per square centimeter
Q4120 Matristem burn matrix, per square centimeter
Q4121 Theraskin, per square centimeter
Q4122 Dermacell, per square centimeter
Q4123 Alloskin rt, per square centimeter
Q4124 Oasis ultra tri-layer wound matrix, per square centimeter
Q4125 Arthroflex, per square centimeter
Q4126 Memoderm, dermaspan, tranzgraft or integuply, per square centimeter
Q4127 Talymed, per square centimeter
Q4128 Flex hd, allopatch hd, or matrix hd, per square centimeter
Q4129 Unite biomatrix, per square centimeter
Q4130 Strattice tm, per square centimeter
Q4131 Epifix, per square centimeter
Q4132 Grafix core, per square centimeter
Q4133 Grafix prime, per square centimeter
Q4134 Hmatrix, per square centimeter
Q4135 Mediskin, per square centimeter
Q4136 Ez-derm, per square centimeter
Q5001 Hospice care provided in patient's home/residence
Q5002 Hospice 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 care provided in place not otherwise specified (nos)
Q5010 Hospice home care provided in a hospice facility
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
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
Q2028 Injection, sculptra, 0.5 mg
Q2050 Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10mg
Q2052 Services, supplies and accessories used in the home under the medicare intravenous immune globulin (ivig) demonstration
Q3027 Injection, interferon beta-1a, 1 mcg for intramuscular use
Q3028 Injection, interferon beta-1a, 1 mcg for subcutaneous use
Q4137 Amnioexcel or biodexcel, per square centimeter
Q4138 Biodfence dryflex, per square centimeter
Q4139 Amniomatrix or biodmatrix, injectable, 1 cc
Q4140 Biodfence, per square centimeter
Q4141 Alloskin ac, per square centimeter
Q4142 Xcm biologic tissue matrix, per square centimeter
Q4143 Repriza, per square centimeter
Q4145 Epifix, injectable, 1 mg
Q4146 Tensix, per square centimeter
Q4147 Architect extracellular matrix, per square centimeter
Q4148 Neox 1k, per square centimeter
Q4149 Excellagen, 0.1 cc