|
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 |
|
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 |
|
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 |
|
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 |
|
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 |
|
Q2038 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
|
Q2043 | Sipuleucel-t, minimum of 50 million autologous cd54+ cells activated with pap-gm-csf, including leukapheresis and all other preparatory procedures, per infusion |
|
Q2050 | Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg |
|
Q2052 | Services, supplies and accessories used in the home under the medicare intravenous immune globulin (ivig) demonstration |
|
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 |
|
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) or integra omnigraft dermal regeneration matrix, 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, 1 cc |
|
Q4113 | Graftjacket xpress, injectable, 1 cc |
|
Q4114 | Integra flowable wound matrix, injectable, 1 cc |
|
Q4115 | Alloskin, per square centimeter |
|
Q4116 | Alloderm, per square centimeter |
|
Q4117 | Hyalomatrix, per square centimeter |
|
Q4118 | Matristem micromatrix, 1 mg |
|
Q4121 | Theraskin, per square centimeter |
|
Q4122 | Dermacell, dermacell awm or dermacell awm porous, per square centimeter |
|
Q4124 | Oasis ultra tri-layer wound matrix, per square centimeter |
|
Q4130 | Strattice tm, per square centimeter |
|
Q4132 | Grafix core and grafixpl core, per square centimeter |
|
Q4133 | Grafix prime, grafixpl prime, stravix and stravixpl, per square centimeter |
|
Q4134 | Hmatrix, per square centimeter |
|
Q4135 | Mediskin, per square centimeter |
|
Q4136 | Ez-derm, per square centimeter |
|
Q4137 | Amnioexcel, amnioexcel plus 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, architect px, or architect fx, extracellular matrix, per square centimeter |
|
Q4148 | Neox cord 1k, neox cord rt, or clarix cord 1k, per square centimeter |
|
Q4149 | Excellagen, 0.1 cc |
|
Q4150 | Allowrap ds or dry, per square centimeter |
|
Q4151 | Amnioband or guardian, per square centimeter |
|
Q4152 | Dermapure, per square centimeter |
|
Q4153 | Dermavest and plurivest, per square centimeter |
|
Q4154 | Biovance, per square centimeter |
|
Q4155 | Neoxflo or clarixflo, 1 mg |
|
Q4156 | Neox 100 or clarix 100, per square centimeter |
|
Q4157 | Revitalon, per square centimeter |
|
Q4158 | Kerecis omega3, per square centimeter |
|
Q4159 | Affinity, per square centimeter |
|
Q4160 | Nushield, per square centimeter |
|
Q4161 | Bio-connekt wound matrix, per square centimeter |
|
Q4162 | Woundex flow, bioskin flow, 0.5 cc |
|
Q4163 | Woundex, bioskin, per square centimeter |
|
Q4164 | Helicoll, per square centimeter |
|
Q4165 | Keramatrix or kerasorb, per square centimeter |
|
Q4166 | Cytal, per square centimeter |
|
Q4167 | Truskin, per square centimeter |
|
Q4168 | Amnioband, 1 mg |
|
Q4169 | Artacent wound, per square centimeter |
|
Q4170 | Cygnus, per square centimeter |
|
Q4171 | Interfyl, 1 mg |
|
Q4173 | Palingen or palingen xplus, per square centimeter |
|
Q4174 | Palingen or promatrx, 0.36 mg per 0.25 cc |
|
Q4175 | Miroderm, per square centimeter |
|
Q4176 | Neopatch or therion, per square centimeter |
|
Q4177 | Floweramnioflo, 0.1 cc |
|
Q4178 | Floweramniopatch, per square centimeter |
|
Q4179 | Flowerderm, per square centimeter |
|
Q4180 | Revita, per square centimeter |
|
Q4181 | Amnio wound, per square centimeter |
|
Q4182 | Transcyte, per square centimeter |
|
Q4183 | Surgigraft, per square centimeter |
|
Q4184 | Cellesta or cellesta duo, per square centimeter |
|
Q4185 | Cellesta flowable amnion (25 mg per cc); per 0.5 cc |
|
Q4186 | Epifix, per square centimeter |
|
Q4187 | Epicord, per square centimeter |
|
Q4188 | Amnioarmor, per square centimeter |
|
Q4189 | Artacent ac, 1 mg |
|
Q4190 | Artacent ac, per square centimeter |
|
Q4191 | Restorigin, per square centimeter |
|
Q4192 | Restorigin, 1 cc |
|
Q4193 | Coll-e-derm, per square centimeter |
|
Q4194 | Novachor, per square centimeter |
|
Q4195 | Puraply, per square centimeter |
|
Q4196 | Puraply am, per square centimeter |
|
Q4197 | Puraply xt, per square centimeter |
|
Q4198 | Genesis amniotic membrane, per square centimeter |
|
Q4200 | Skin te, per square centimeter |
|
Q4201 | Matrion, per square centimeter |
|
Q4202 | Keroxx (2.5g/cc), 1cc |
|
Q4203 | Derma-gide, per square centimeter |
|
Q4204 | Xwrap, per square centimeter |
|
Q4205 | Membrane graft or membrane wrap, per square centimeter |
|
Q4206 | Fluid flow or fluid GF, 1 cc |
|
Q4208 | Novafix, per square centimeter |
|
Q4209 | Surgraft, per square centimeter |
|
Q4210 | Axolotl graft or axolotl dualgraft, per square centimeter |
|
Q4211 | Amnion bio or Axobiomembrane, per square centimeter |
|
Q4212 | Allogen, per cc |
|
Q4213 | Ascent, 0.5 mg |
|
Q4214 | Cellesta cord, per square centimeter |
|
Q4215 | Axolotl ambient or axolotl cryo, 0.1 mg |
|
Q4216 | Artacent cord, per square centimeter |
|
Q4217 | Woundfix, BioWound, Woundfix Plus, BioWound Plus, Woundfix Xplus or BioWound Xplus, per square centimeter |
|
Q4218 | Surgicord, per square centimeter |
|
Q4219 | Surgigraft-dual, per square centimeter |
|
Q4220 | BellaCell HD or Surederm, per square centimeter |
|
Q4221 | Amniowrap2, per square centimeter |
|
Q4222 | Progenamatrix, per square centimeter |
|
Q4226 | MyOwn skin, includes harvesting and preparation procedures, per square centimeter |
|
Q4227 | Amniocore, per square centimeter |
|
Q4228 | Bionextpatch, per square centimeter |
|
Q4229 | Cogenex amniotic membrane, per square centimeter |
|
Q4230 | Cogenex flowable amnion, per 0.5 cc |
|
Q4231 | Corplex p, per cc |
|
Q4232 | Corplex, per square centimeter |
|
Q4233 | Surfactor or nudyn, per 0.5 cc |
|
Q4234 | Xcellerate, per square centimeter |
|
Q4235 | Amniorepair or altiply, per square centimeter |
|
Q4236 | Carepatch, per square centimeter |
|
Q4237 | Cryo-cord, per square centimeter |
|
Q4238 | Derm-maxx, per square centimeter |
|
Q4239 | Amnio-maxx or amnio-maxx lite, per square centimeter |
|
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 |
|
Q4248 | Dermacyte amniotic membrane allograft, per square centimeter |
|
Q4249 | Amniply, for topical use only, per square centimeter |
|
Q4250 | Amnioamp-mp, per square centimeter |
|
Q4254 | Novafix dl, per square centimeter |
|
Q4255 | Reguard, for topical use only, per square centimeter |
|
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 |
|
Q5101 | Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram |
|
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, biosimilar, (fulphila), 0.5 mg |
|
Q5109 | Injection, infliximab-qbtx, biosimilar, (ixifi), 10 mg |
|
Q5110 | Injection, filgrastim-aafi, biosimilar, (nivestym), 1 microgram |
|
Q5111 | Injection, pegfilgrastim-cbqv, biosimilar, (udenyca), 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, biosimilar, (ziextenzo), 0.5 mg |
|
Q5121 | Injection, infliximab-axxq, biosimilar, (avsola), 10 mg |
|
Q9001 | Assessment by department of veterans affairs chaplain services |
|
Q9002 | Counseling, individual, by department of veterans affairs chaplain services |
|
Q9003 | Counseling, group, by department of veterans affairs chaplain services |
|
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 |
|
Q9969 | Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose |
|
Q9982 | Flutemetamol f18, diagnostic, per study dose, up to 5 millicuries |
|
Q9983 | Florbetaben f18, diagnostic, per study dose, up to 8.1 millicuries |
|
Q9991 | Injection, buprenorphine extended-release (sublocade), less than or equal to 100 mg |
|
Q9992 | Injection, buprenorphine extended-release (sublocade), greater than 100 mg |
