| Q0035 |
Cardiokymography |
| Q0081 |
Infusion ther other than che |
| Q0083 |
Chemo by other than infusion |
| Q0084 |
Chemotherapy by infusion |
| Q0085 |
Chemo by both infusion and o |
| Q0091 |
Obtaining screen pap smear |
| Q0092 |
Set up port xray equipment |
| Q0111 |
Wet mounts/ w preparations |
| Q0112 |
Potassium hydroxide preps |
| Q0113 |
Pinworm examinations |
| Q0114 |
Fern test |
| Q0115 |
Post-coital mucous exam |
| Q0138 |
Ferumoxytol, non-esrd |
| Q0139 |
Ferumoxytol, esrd use |
| Q0144 |
Azithromycin dihydrate, oral |
| Q0161 |
Chlorpromazine hcl 5mg oral |
| Q0162 |
Ondansetron oral |
| Q0163 |
Diphenhydramine hcl 50mg |
| Q0164 |
Prochlorperazine maleate 5mg |
| Q0166 |
Granisetron hcl 1 mg oral |
| Q0167 |
Dronabinol 2.5mg oral |
| Q0169 |
Promethazine hcl 12.5mg oral |
| Q0173 |
Trimethobenzamide hcl 250mg |
| Q0174 |
Thiethylperazine maleate10mg |
| Q0175 |
Perphenazine 4mg oral |
| Q0177 |
Hydroxyzine pamoate 25mg |
| Q0180 |
Dolasetron mesylate oral |
| Q0181 |
Unspecified oral anti-emetic |
| Q0477 |
Pwr module pt cable lvad rpl |
| Q0478 |
Power adapter, combo vad |
| Q0479 |
Power module combo vad, rep |
| Q0480 |
Driver pneumatic vad, rep |
| Q0481 |
Microprcsr cu elec vad, rep |
| Q0482 |
Microprcsr cu combo vad, rep |
| Q0483 |
Monitor elec vad, rep |
| Q0484 |
Monitor elec or comb vad rep |
| Q0485 |
Monitor cable elec vad, rep |
| Q0486 |
Mon cable elec/pneum vad rep |
| Q0487 |
Leads any type vad, rep only |
| Q0488 |
Pwr pack base elec vad, rep |
| Q0489 |
Pwr pck base combo vad, rep |
| Q0490 |
Emr pwr source elec vad, rep |
| Q0491 |
Emr pwr source combo vad rep |
| Q0492 |
Emr pwr cbl elec vad, rep |
| Q0493 |
Emr pwr cbl combo vad, rep |
| Q0494 |
Emr hd pmp elec/combo, rep |
| Q0495 |
Charger elec/combo vad, rep |
| Q0496 |
Battery elec/combo vad, rep |
| Q0497 |
Bat clps elec/comb vad, rep |
| Q0498 |
Holster elec/combo vad, rep |
| Q0499 |
Belt/vest elec/combo vad rep |
| Q0500 |
Filters elec/combo vad, rep |
| Q0501 |
Shwr cov elec/combo vad, rep |
| Q0502 |
Mobility cart pneum vad, rep |
| Q0503 |
Battery pneum vad replacemnt |
| Q0504 |
Pwr adpt pneum vad, rep veh |
| Q0506 |
Lith-ion batt elec/pneum vad |
| Q0507 |
Misc sup/acc ext vad |
| Q0508 |
Mis sup/acc imp vad |
| Q0509 |
Mis sup/ac imp vad nopay med |
| Q0510 |
Dispens fee immunosupressive |
| Q0511 |
Sup fee antiem,antica,immuno |
| Q0512 |
Px sup fee anti-can sub pres |
| Q0513 |
Disp fee inhal drugs/30 days |
| Q0514 |
Disp fee inhal drugs/90 days |
| Q0515 |
Sermorelin acetate injection |
| Q1004 |
Ntiol category 4 |
| Q1005 |
Ntiol category 5 |
| Q2004 |
Bladder calculi irrig sol |
| Q2009 |
Fosphenytoin inj pe |
| Q2017 |
Teniposide, 50 mg |
| Q2026 |
Radiesse injection |
| Q2028 |
Inj, sculptra, 0.5mg |
| Q2034 |
Agriflu vaccine |
| Q2035 |
Afluria vacc, 3 yrs & >, im |
| Q2036 |
Flulaval vacc, 3 yrs & >, im |
| Q2037 |
Fluvirin vacc, 3 yrs & >, im |
| Q2038 |
Fluzone vacc, 3 yrs & >, im |
| Q2039 |
Influenza virus vaccine, nos |
| Q2041 |
Axicabtagene ciloleucel car+ |
| Q2042 |
Tisagenlecleucel car-pos t |
| Q2043 |
Sipuleucel-t auto cd54+ |
| Q2049 |
Imported lipodox inj |
| Q2050 |
Doxorubicin inj 10mg |
| Q2052 |
Ivig demo, services/supplies |
| Q3001 |
Brachytherapy radioelements |
| Q3014 |
Telehealth facility fee |
| Q3027 |
Inj beta interferon im 1 mcg |
| Q3028 |
Inj beta interferon sq 1 mcg |
| Q3031 |
Collagen skin test |
| Q4001 |
Cast sup body cast plaster |
| Q4002 |
Cast sup body cast fiberglas |
| Q4003 |
Cast sup shoulder cast plstr |
| Q4004 |
Cast sup shoulder cast fbrgl |
| Q4005 |
Cast sup long arm adult plst |
| Q4006 |
Cast sup long arm adult fbrg |
| Q4007 |
Cast sup long arm ped plster |
| Q4008 |
Cast sup long arm ped fbrgls |
| Q4009 |
Cast sup sht arm adult plstr |
| Q4010 |
Cast sup sht arm adult fbrgl |
| Q4011 |
Cast sup sht arm ped plaster |
| Q4012 |
Cast sup sht arm ped fbrglas |
| Q4013 |
Cast sup gauntlet plaster |
| Q4014 |
Cast sup gauntlet fiberglass |
| Q4015 |
Cast sup gauntlet ped plster |
| Q4016 |
Cast sup gauntlet ped fbrgls |
| Q4017 |
Cast sup lng arm splint plst |
| Q4018 |
Cast sup lng arm splint fbrg |
| Q4019 |
Cast sup lng arm splnt ped p |
| Q4020 |
Cast sup lng arm splnt ped f |
| Q4021 |
Cast sup sht arm splint plst |
| Q4022 |
Cast sup sht arm splint fbrg |
| Q4023 |
Cast sup sht arm splnt ped p |
| Q4024 |
Cast sup sht arm splnt ped f |
| Q4025 |
Cast sup hip spica plaster |
| Q4026 |
Cast sup hip spica fiberglas |
| Q4027 |
Cast sup hip spica ped plstr |
| Q4028 |
Cast sup hip spica ped fbrgl |
| Q4029 |
Cast sup long leg plaster |
| Q4030 |
Cast sup long leg fiberglass |
| Q4031 |
Cast sup lng leg ped plaster |
| Q4032 |
Cast sup lng leg ped fbrgls |
| Q4033 |
Cast sup lng leg cylinder pl |
| Q4034 |
Cast sup lng leg cylinder fb |
| Q4035 |
Cast sup lngleg cylndr ped p |
| Q4036 |
Cast sup lngleg cylndr ped f |
| Q4037 |
Cast sup shrt leg plaster |
| Q4038 |
Cast sup shrt leg fiberglass |
| Q4039 |
Cast sup shrt leg ped plster |
| Q4040 |
Cast sup shrt leg ped fbrgls |
| Q4041 |
Cast sup lng leg splnt plstr |
| Q4042 |
Cast sup lng leg splnt fbrgl |
| Q4043 |
Cast sup lng leg splnt ped p |
| Q4044 |
Cast sup lng leg splnt ped f |
| Q4045 |
Cast sup sht leg splnt plstr |
| Q4046 |
Cast sup sht leg splnt fbrgl |
| Q4047 |
Cast sup sht leg splnt ped p |
| Q4048 |
Cast sup sht leg splnt ped f |
| Q4049 |
Finger splint, static |
| Q4050 |
Cast supplies unlisted |
| Q4051 |
Splint supplies misc |
| Q4074 |
Iloprost non-comp unit dose |
| Q4081 |
Epoetin alfa, 100 units esrd |
| Q4082 |
Drug/bio noc part b drug cap |
| Q4100 |
Skin substitute, nos |
| Q4101 |
Apligraf |
| Q4102 |
Oasis wound matrix |
| Q4103 |
Oasis burn matrix |
| Q4104 |
Integra bmwd |
| Q4105 |
Integra drt or omnigraft |
| Q4106 |
Dermagraft |
| Q4107 |
Graftjacket |
| Q4108 |
Integra matrix |
| Q4110 |
Primatrix |
| Q4111 |
Gammagraft |
| Q4112 |
Cymetra injectable |
| Q4113 |
Graftjacket xpress |
| Q4114 |
Integra flowable wound matri |
| Q4115 |
Alloskin |
| Q4116 |
Alloderm |
| Q4117 |
Hyalomatrix |
| Q4118 |
Matristem micromatrix |
| Q4121 |
Theraskin |
| Q4122 |
Dermacell, awm, porous sq cm |
| Q4123 |
Alloskin |
| Q4124 |
Oasis tri-layer wound matrix |
| Q4125 |
Arthroflex |
| Q4126 |
Memoderm/derma/tranz/integup |
| Q4127 |
Talymed |
| Q4128 |
Flexhd/allopatchhd/matrixhd |
| Q4130 |
Strattice tm |
| Q4132 |
Grafix core, grafixpl core |
| Q4133 |
Grafix stravix prime pl sqcm |
| Q4134 |
Hmatrix |
| Q4135 |
Mediskin |
| Q4136 |
Ezderm |
| Q4137 |
Amnioexcel biodexcel 1sq cm |
| Q4138 |
Biodfence dryflex, 1cm |
| Q4139 |
Amnio or biodmatrix, inj 1cc |
| Q4140 |
Biodfence 1cm |
| Q4141 |
Alloskin ac, 1 cm |
| Q4142 |
Xcm biologic tiss matrix 1cm |
| Q4143 |
Repriza, 1cm |
| Q4145 |
Epifix, inj, 1mg |
| Q4146 |
Tensix, 1cm |
| Q4147 |
Architect ecm px fx 1 sq cm |
| Q4148 |
Neox neox rt or clarix cord |
| Q4149 |
Excellagen, 0.1 cc |
| Q4150 |
Allowrap ds or dry 1 sq cm |
| Q4151 |
Amnioband, guardian 1 sq cm |
| Q4152 |
Dermapure 1 square cm |
| Q4153 |
Dermavest, plurivest sq cm |
| Q4154 |
Biovance 1 square cm |
| Q4155 |
Neoxflo or clarixflo 1 mg |
| Q4156 |
Neox 100 or clarix 100 |
| Q4157 |
Revitalon 1 square cm |
| Q4158 |
Kerecis omega3, per sq cm |
| Q4159 |
Affinity1 square cm |
| Q4160 |
Nushield 1 square cm |
| Q4161 |
Bio-connekt per square cm |
| Q4162 |
Wndex flw, bioskn flw, 0.5cc |
| Q4163 |
Woundex, bioskin, per sq cm |
| Q4164 |
Helicoll, per square cm |
| Q4165 |
Keramatrix, kerasorb sq cm |
| Q4166 |
Cytal, per square centimeter |
| Q4167 |
Truskin, per sq centimeter |
| Q4168 |
Amnioband, 1 mg |
| Q4169 |
Artacent wound, per sq cm |
| Q4170 |
Cygnus, per sq cm |
| Q4171 |
Interfyl, 1 mg |
| Q4173 |
Palingen or palingen xplus |
| Q4174 |
Palingen or promatrx |
| Q4175 |
Miroderm |
| Q4176 |
Neopatch, per sq centimeter |
| Q4177 |
Floweramnioflo, 0.1 cc |
| Q4178 |
Floweramniopatch, per sq cm |
| Q4179 |
Flowerderm, per sq cm |
| Q4180 |
Revita, per sq cm |
| Q4181 |
Amnio wound, per square cm |
| Q4182 |
Transcyte, per sq centimeter |
| Q4183 |
Surgigraft, 1 sq cm |
| Q4184 |
Cellesta or duo per sq cm |
| Q4185 |
Cellesta flowab amnion 0.5cc |
| Q4186 |
Epifix 1 sq cm |
| Q4187 |
Epicord 1 sq cm |
| Q4188 |
Amnioarmor 1 sq cm |
| Q4189 |
Artacent ac, 1 mg |
| Q4190 |
Artacent ac 1 sq cm |
| Q4191 |
Restorigin 1 sq cm |
| Q4192 |
Restorigin, 1 cc |
| Q4193 |
Coll-e-derm 1 sq cm |
| Q4194 |
Novachor 1 sq cm |
| Q4195 |
Puraply 1 sq cm |
| Q4196 |
Puraply am 1 sq cm |
| Q4197 |
Puraply xt 1 sq cm |
| Q4198 |
Genesis amnio membrane 1sqcm |
| Q4200 |
Skin te 1 sq cm |
| Q4201 |
Matrion 1 sq cm |
| Q4202 |
Keroxx (2.5g/cc), 1cc |
| Q4203 |
Derma-gide, 1 sq cm |
| Q4204 |
Xwrap 1 sq cm |
| Q4205 |
Membrane graft or wrap sq cm |
| Q4206 |
Fluid flow or fluid gf 1 cc |
| Q4208 |
Novafix per sq cm |
| Q4209 |
Surgraft per sq cm |
| Q4210 |
Axolotl graf dualgraf sq cm |
| Q4211 |
Amnion bio or axobio sq cm |
| Q4212 |
Allogen, per cc |
| Q4213 |
Ascent, 0.5 mg |
| Q4214 |
Cellesta cord per sq cm |
| Q4215 |
Axolotl ambient, cryo 0.1 mg |
| Q4216 |
Artacent cord per sq cm |
| Q4217 |
Woundfix biowound plus xplus |
| Q4218 |
Surgicord per sq cm |
| Q4219 |
Surgigraft dual per sq cm |
| Q4220 |
Bellacell hd, surederm sq cm |
| Q4221 |
Amniowrap2 per sq cm |
| Q4222 |
Progenamatrix, per sq cm |
| Q4226 |
Myown harv prep proc sq cm |
| Q5001 |
Hospice or home hlth in home |
| Q5002 |
Hospice/home hlth in asst lv |
| Q5003 |
Hospice in lt/non-skilled nf |
| Q5004 |
Hospice in snf |
| Q5005 |
Hospice, inpatient hospital |
| Q5006 |
Hospice in hospice facility |
| Q5007 |
Hospice in ltch |
| Q5008 |
Hospice in inpatient psych |
| Q5009 |
Hospice/home hlth, place nos |
| Q5010 |
Hospice home care in hospice |
| Q5101 |
Injection, zarxio |
| Q5103 |
Injection, inflectra |
| Q5104 |
Injection, renflexis |
| Q5105 |
Inj retacrit esrd on dialysi |
| Q5106 |
Inj retacrit non-esrd use |
| Q5107 |
Inj mvasi 10 mg |
| Q5108 |
Injection, fulphila |
| Q5109 |
Injection, ixifi, 10 mg |
| Q5110 |
Nivestym |
| Q5111 |
Injection, udenyca 0.5 mg |
| Q5112 |
Inj ontruzant 10 mg |
| Q5113 |
Inj herzuma 10 mg |
| Q5114 |
Inj ogivri 10 mg |
| Q5115 |
Inj truxima 10 mg |
| Q5116 |
Inj., trazimera, 10 mg |
| Q5117 |
Inj., kanjinti, 10 mg |
| Q5118 |
Inj., zirabev, 10 mg |
| Q9950 |
Inj sulf hexa lipid microsph |
| Q9951 |
Locm >= 400 mg/ml iodine,1ml |
| Q9953 |
Inj fe-based mr contrast,1ml |
| Q9954 |
Oral mr contrast, 100 ml |
| Q9955 |
Inj perflexane lip micros,ml |
| Q9956 |
Inj octafluoropropane mic,ml |
| Q9957 |
Inj perflutren lip micros,ml |
| Q9958 |
Hocm <=149 mg/ml iodine, 1ml |
| Q9959 |
Hocm 150-199mg/ml iodine,1ml |
| Q9960 |
Hocm 200-249mg/ml iodine,1ml |
| Q9961 |
Hocm 250-299mg/ml iodine,1ml |
| Q9962 |
Hocm 300-349mg/ml iodine,1ml |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
| Q9964 |
Hocm>= 400mg/ml iodine, 1ml |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
| Q9968 |
Visualization adjunct |
| Q9969 |
Non-heu tc-99m add-on/dose |
| Q9982 |
Flutemetamol f18 diagnostic |
| Q9983 |
Florbetaben f18 diagnostic |
| Q9991 |
Buprenorph xr 100 mg or less |
| Q9992 |
Buprenorphine xr over 100 mg |