HCPCS Codes - Medical Procedures, Supplies & DME Codes - q4 Codes

HCPCS Procedure, Supply & DME (Durable Medical Equipment) Codes ("q4" Codes):

• Q4001 casting supplies body cast adult head HCPCS Code Code
• Q4002 cast supplies body cast adult head HCPCS Code Code
• Q4003 cast supplies shoulder cast adult 11 HCPCS Code Code
• Q4004 cast supplies shoulder cast adult 11 HCPCS Code Code
• Q4005 cast supplies long arm cast adult HCPCS Code Code
• Q4006 cast supplies long arm cast adult HCPCS Code Code
• Q4007 cast supplies long arm cast pediatric HCPCS Code Code
• Q4008 cast supplies long arm cast pediatric HCPCS Code Code
• Q4009 cast supplies short arm cast adult HCPCS Code Code
• Q4010 cast supplies short arm cast adult HCPCS Code Code
• Q4011 cast supplies short arm cast pediatric HCPCS Code Code
• Q4012 cast supplies short arm cast pediatric HCPCS Code Code
• Q4013 cast supplies gauntlet cast includes lower HCPCS Code Code
• Q4014 cast supplies gauntlet cast includes lower HCPCS Code Code
• Q4015 cast supplies gauntlet cast includes lower HCPCS Code Code
• Q4016 cast supplies gauntlet cast includes lower HCPCS Code Code
• Q4017 cast supplies long arm splint adult HCPCS Code Code
• Q4018 cast supplies long arm splint adult HCPCS Code Code
• Q4019 cast supplies long arm splint pediatric HCPCS Code Code
• Q4020 cast supplies long arm splint pediatric HCPCS Code Code
• Q4021 cast supplies short arm splint adult HCPCS Code Code
• Q4022 cast supplies short arm splint adult HCPCS Code Code
• Q4023 cast supplies short arm splint pediatric HCPCS Code Code
• Q4024 cast supplies short arm splint pediatric HCPCS Code Code
• Q4025 cast supplies hip spica one both HCPCS Code Code
• Q4026 cast supplies hip spica one both HCPCS Code Code
• Q4027 cast supplies hip spica one both HCPCS Code Code
• Q4028 cast supplies hip spica one both HCPCS Code Code
• Q4029 cast supplies long leg cast adult HCPCS Code Code
• Q4030 cast supplies long leg cast adult HCPCS Code Code
• Q4031 cast supplies long leg cast pediatric HCPCS Code Code
• Q4032 cast supplies long leg cast pediatric HCPCS Code Code
• Q4033 cast supplies long leg cylinder cast HCPCS Code Code
• Q4034 cast supplies long leg cylinder cast HCPCS Code Code
• Q4035 cast supplies long leg cylinder cast HCPCS Code Code
• Q4036 cast supplies long leg cylinder cast HCPCS Code Code
• Q4037 cast supplies short leg cast adult HCPCS Code Code
• Q4038 cast supplies short leg cast adult HCPCS Code Code
• Q4039 cast supplies short leg cast pediatric HCPCS Code Code
• Q4040 cast supplies short leg cast pediatric HCPCS Code Code
• Q4041 cast supplies long leg splint adult HCPCS Code Code
• Q4042 cast supplies long leg splint adult HCPCS Code Code
• Q4043 cast supplies long leg splint pediatric HCPCS Code Code
• Q4044 cast supplies long leg splint pediatric HCPCS Code Code
• Q4045 cast supplies short leg splint adult HCPCS Code Code
• Q4046 cast supplies short leg splint adult HCPCS Code Code
• Q4047 cast supplies short leg splint pediatric HCPCS Code Code
• Q4048 cast supplies short leg splint pediatric HCPCS Code Code
• Q4049 finger splint static HCPCS Code Code
• Q4050 cast supplies unlisted types materials casts HCPCS Code Code
• Q4051 splint supplies miscellaneous includes thermoplastics strapping HCPCS Code Code
• Q4054 DARBEPOETIN ALFA, ESRD USE HCPCS Code Code
• Q4055 EPOETIN ALFA, ESRD USE HCPCS Code Code
• Q4074 Iloprost non-comp unit dose HCPCS Code Code
• Q4075 ACYCLOVIR, 5 MG HCPCS Code Code
• Q4076 DOPAMINE HCL, 40 MG HCPCS Code Code
• Q4077 TREPROSTINIL, 1 MG HCPCS Code Code
• Q4079 injection natalizumab 1 mg HCPCS Code Code
• Q4080 iloprost inhalation solution administered through dme HCPCS Code Code
• Q4081 injection epoetin alfa 100 units esrd HCPCS Code Code
• Q4082 drug biological not otherwise classified part HCPCS Code Code
• Q4083 hyaluronan derivative hyalgan supartz intraarticular injection HCPCS Code Code
• Q4084 hyaluronan derivative synvisc intraarticular injection per HCPCS Code Code
• Q4085 hyaluronan derivative euflexxa intraarticular injection per HCPCS Code Code
• Q4086 hyaluronan derivative orthovisc intraarticular injection per HCPCS Code Code
• Q4087 OCTAGAM INJECTION HCPCS Code Code
• Q4088 GAMMAGARD LIQUID INJECTION HCPCS Code Code
• Q4089 RHOPHYLAC INJECTION HCPCS Code Code
• Q4090 HEPAGAM B IM INJECTION HCPCS Code Code
• Q4091 FLEBOGAMMA INJECTION HCPCS Code Code
• Q4092 GAMUNEX INJECTION HCPCS Code Code
• Q4093 ALBUTEROL INH NON-COMP CON HCPCS Code Code
• Q4094 ALBUTEROL INH NON-COMP U D HCPCS Code Code
• Q4095 RECLAST INJECTION HCPCS Code Code
• Q4096 INJECTION, VON WILLEBRAND FACTOR COMPLEX, HUMAN, RISTOCETIN HCPCS Code Code
• Q4097 INJECTION, IMMUNE GLOBULIN (PRIVIGEN), INTRAVENOUS, NON-LYOPHILIZED (E.G. HCPCS Code Code
• Q4098 INJECTION, IRON DEXTRAN, 50 MG HCPCS Code Code
• Q4099 FORMOTEROL FUMARATE, INHALATION SOLUTION, FDA APPROVED FINAL HCPCS Code Code
• Q4100 SKIN SUBSTITUTE, NOT OTHERWISE SPECIFIED HCPCS Code Code
• Q4101 SKIN SUBSTITUTE, APLIGRAF, PER SQUARE CENTIMETER HCPCS Code Code
• Q4102 SKIN SUBSTITUTE, OASIS WOUND MATRIX, PER SQUARE HCPCS Code Code
• Q4103 SKIN SUBSTITUTE, OASIS BURN MATRIX, PER SQUARE HCPCS Code Code
• Q4104 SKIN SUBSTITUTE, INTEGRA BILAYER MATRIX WOUND DRESSING HCPCS Code Code
• Q4105 SKIN SUBSTITUTE, INTEGRA DERMAL REGENERATION TEMPLATE (DRT), HCPCS Code Code
• Q4106 SKIN SUBSTITUTE, DERMAGRAFT, PER SQUARE CENTIMETER HCPCS Code Code
• Q4107 SKIN SUBSTITUTE, GRAFTJACKET, PER SQUARE CENTIMETER HCPCS Code Code
• Q4108 SKIN SUBSTITUTE, INTEGRA MATRIX, PER SQUARE CENTIMETER HCPCS Code Code
• Q4109 SKIN SUBSTITUTE, TISSUEMEND, PER SQUARE CENTIMETER HCPCS Code Code
• Q4110 SKIN SUBSTITUTE, PRIMATRIX, PER SQUARE CENTIMETER HCPCS Code Code
• Q4111 SKIN SUBSTITUTE, GAMMAGRAFT, PER SQUARE CENTIMETER HCPCS Code Code
• Q4112 ALLOGRAFT, CYMETRA, INJECTABLE, 1CC HCPCS Code Code
• Q4113 ALLOGRAFT, GRAFTJACKET EXPRESS, INJECTABLE, 1CC HCPCS Code Code
• Q4114 ALLOGRAFT, INTEGRA FLOWABLE WOUND MATRIX, INJECTABLE, 1CC HCPCS Code Code
• Q4115 SKIN SUBSTITUTE, ALLOSKIN, PER SQUARE CENTIMETER HCPCS Code Code
• Q4116 SKIN SUBSTITUTE, ALLODERM, PER SQUARE CENTIMETER HCPCS Code Code

    * Note: Codes may not be sequential.

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HCPCS Medical Codes & Code Modifiers

(HCPCS is commonly pronounced Hick-Picks.)

Each year, in the United States, health care insurers process over 5 billion claims for payment. For Medicare and other health insurance programs to ensure that these claims are processed in an orderly and consistent manner, standardized coding systems are essential. The HCPCS Level II Code Set is one of the standard code sets used for this purpose. The HCPCS is divided into two principal subsystems, referred to as level I and level II of the HCPCS. Level I of the HCPCS is comprised of CPT (Current Procedural Terminology), a numeric coding system maintained by the American Medical Association (AMA). The CPT is a uniform coding system consisting of descriptive terms and identifying codes that are used primarily to identify medical services and procedures furnished by physicians and other health care professionals. These health care professionals use the CPT to identify services and procedures for which they bill public or private health insurance programs. Decisions regarding the addition, deletion, or revision of CPT codes are made by the AMA. The CPT codes are republished and updated annually by the AMA. Level I of the HCPCS, the CPT codes, does not include codes needed to separately report medical items or services that are regularly billed by suppliers other than physicians.

Level II of the HCPCS is a standardized coding system that is used primarily to identify products, supplies, and services not included in the CPT codes, such as ambulance services and durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) when used outside a physician's office. Because Medicare and other insurers cover a variety of services, supplies, and equipment that are not identified by CPT codes, the level II HCPCS codes were established for submitting claims for these items. The development and use of level II of the HCPCS began in the 1980's. Level II codes are also referred to as alpha-numeric codes because they consist of a single alphabetical letter followed by 4 numeric digits, while CPT codes are identified using 5 numeric digits.

In October of 2003, the Secretary of HHS delegated authority under the HIPAA legislation to CMS to maintain and distribute HCPCS Level II Codes. As stated in 42 CFR Sec. 414.40 (a) CMS establishes uniform national definitions of services, codes to represent services, and payment modifiers to the codes. Within CMS there is a CMS HCPCS Workgroup which is an internal workgroup comprised of representatives of the major components of CMS, as well as other consultants from pertinent Federal agencies. Prior to December 31, 2003, Level III HCPCS were developed and used by Medicaid State agencies, Medicare contractors, and private insurers in their specific programs or local areas of jurisdiction. For purposes of Medicare, level III codes were also referred to as local codes. Local codes were established when an insurer preferred that suppliers use a local code to identify a service, for which there is no level I or level II code, rather than use a "miscellaneous or not otherwise classified code." The Health Insurance Portability and Accountability Act of 1996 (HIPAA) required CMS to adopt standards for coding systems that are used for reporting health care transactions. We published, in the Federal Register on August 17, 2000 (65 FR 50312), regulations to implement this part of the HIPAA legislation. These regulations provided for the elimination of level III local codes by October 2002, at which time, the level I and level II code sets could be used. The elimination of local codes was postponed, as a result of section 532(a) of BIPA, which continued the use of local codes through December 31, 2003.

(Source: http://www.cms.hhs.gov/MedHCPCSGenInfo/)