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Q-code: Temporary codes Temporary codes

644 codes

Billing context

Q-codes are temporary national codes recognized by Medicare. For drugs they include biosimilar products (Q51xx) and other drugs, biologicals, and skin substitutes that are not yet assigned a permanent code. Units follow the dosage in the descriptor.
Q-codes, page 2 of 7
CodeLong descriptorPayment limit (Q4 2026)AddedStatus
Q2039Influenza virus vaccine, not otherwise specifiedNOC / NOS—Jan 1, 2011Active
Q2040Tisagenlecleucel, up to 250 million car-positive viable t cells, including leukapheresis and dose preparation procedures, per infusion—Jan 1, 2018Ended Dec 31, 2018
Q2041Axicabtagene ciloleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose$577,943.258per UP TO 200 MILLION CAR T CELLSApr 1, 2018Active
Q2042Tisagenlecleucel, up to 600 million car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose$626,315.834per up to 600 million CAR-positive viable T cellsJan 1, 2019Active
Q2043Sipuleucel-t, minimum of 50 million autologous cd54+ cells activated with pap-gm-csf, including leukapheresis and all other preparatory procedures, per infusion$55,663.131per Per infusion (minimum 50 million cells)Jul 1, 2011Active
Q2049Injection, doxorubicin hydrochloride, liposomal, imported lipodox, 10 mg—Jul 1, 2012Active
Q2050Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mgNOC / NOS$97.823per 10 MGJul 1, 2013Active
Q2052Services, supplies and accessories used in the home for the administration of intravenous immune globulin (ivig)—Apr 1, 2014Active
Q2053Brexucabtagene autoleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose$532,352.741per UP TO 200 MILLION AUTOLOGOUS ANTI-CD19 CAR POSITIVE VIABLE T CELLSApr 1, 2021Active
Q2054Lisocabtagene maraleucel, up to 110 million autologous anti-cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose$589,846.771per Up to 110 million CAR-positive viable T cells, per therapeutic doseOct 1, 2021Active
Q2055Idecabtagene vicleucel, up to 510 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose$575,850.465per UP TO 510 MILLION AUTOLOGOUS ANTI-BCMA CAR-POSITIVE VIABLE T CELLSJan 1, 2022Active
Q2056Ciltacabtagene autoleucel, up to 100 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose$594,112.255per up to 100 million autologous b-cell maturation antigen (bcma) directed car-positive t cellsOct 1, 2022Active
Q2057Afamitresgene autoleucel, including leukapheresis and dose preparation procedures, per therapeutic dose$813,967.375per PER THERAPEUTIC DOSEApr 1, 2025Active
Q2058Obecabtagene autoleucel, 10 up to 400 million cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per infusion$293,725.702per Per Therapeutic DoseJul 1, 2025Active
Q3001Radioelements for brachytherapy, any type, each—Jul 1, 2000Active
Q3014Telehealth originating site facility fee—Oct 1, 2001Active
Q3027Injection, interferon beta-1a, 1 mcg for intramuscular use—Jan 1, 2014Active
Q3028Injection, interferon beta-1a, 1 mcg for subcutaneous use—Jan 1, 2014Active
Q3031Collagen skin test—Apr 1, 2003Active
Q4001Casting supplies, body cast adult, with or without head, plaster—Jul 1, 2001Active
Q4002Cast supplies, body cast adult, with or without head, fiberglass—Jul 1, 2001Active
Q4003Cast supplies, shoulder cast, adult (11 years +), plaster—Jul 1, 2001Active
Q4004Cast supplies, shoulder cast, adult (11 years +), fiberglass—Jul 1, 2001Active
Q4005Cast supplies, long arm cast, adult (11 years +), plaster—Jul 1, 2001Active
Q4006Cast supplies, long arm cast, adult (11 years +), fiberglass—Jul 1, 2001Active
Q4007Cast supplies, long arm cast, pediatric (0-10 years), plaster—Jul 1, 2001Active
Q4008Cast supplies, long arm cast, pediatric (0-10 years), fiberglass—Jul 1, 2001Active
Q4009Cast supplies, short arm cast, adult (11 years +), plaster—Jul 1, 2001Active
Q4010Cast supplies, short arm cast, adult (11 years +), fiberglass—Jul 1, 2001Active
Q4011Cast supplies, short arm cast, pediatric (0-10 years), plaster—Jul 1, 2001Active
Q4012Cast supplies, short arm cast, pediatric (0-10 years), fiberglass—Jul 1, 2001Active
Q4013Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), plaster—Jul 1, 2001Active
Q4014Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), fiberglass—Jul 1, 2001Active
Q4015Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), plaster—Jul 1, 2001Active
Q4016Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), fiberglass—Jul 1, 2001Active
Q4017Cast supplies, long arm splint, adult (11 years +), plaster—Jul 1, 2001Active
Q4018Cast supplies, long arm splint, adult (11 years +), fiberglass—Jul 1, 2001Active
Q4019Cast supplies, long arm splint, pediatric (0-10 years), plaster—Jul 1, 2001Active
Q4020Cast supplies, long arm splint, pediatric (0-10 years), fiberglass—Jul 1, 2001Active
Q4021Cast supplies, short arm splint, adult (11 years +), plaster—Jul 1, 2001Active
Q4022Cast supplies, short arm splint, adult (11 years +), fiberglass—Jul 1, 2001Active
Q4023Cast supplies, short arm splint, pediatric (0-10 years), plaster—Jul 1, 2001Active
Q4024Cast supplies, short arm splint, pediatric (0-10 years), fiberglass—Jul 1, 2001Active
Q4025Cast supplies, hip spica (one or both legs), adult (11 years +), plaster—Jul 1, 2001Active
Q4026Cast supplies, hip spica (one or both legs), adult (11 years +), fiberglass—Jul 1, 2001Active
Q4027Cast supplies, hip spica (one or both legs), pediatric (0-10 years), plaster—Jul 1, 2001Active
Q4028Cast supplies, hip spica (one or both legs), pediatric (0-10 years), fiberglass—Jul 1, 2001Active
Q4029Cast supplies, long leg cast, adult (11 years +), plaster—Jul 1, 2001Active
Q4030Cast supplies, long leg cast, adult (11 years +), fiberglass—Jul 1, 2001Active
Q4031Cast supplies, long leg cast, pediatric (0-10 years), plaster—Jul 1, 2001Active
Q4032Cast supplies, long leg cast, pediatric (0-10 years), fiberglass—Jul 1, 2001Active
Q4033Cast supplies, long leg cylinder cast, adult (11 years +), plaster—Jul 1, 2001Active
Q4034Cast supplies, long leg cylinder cast, adult (11 years +), fiberglass—Jul 1, 2001Active
Q4035Cast supplies, long leg cylinder cast, pediatric (0-10 years), plaster—Jul 1, 2001Active
Q4036Cast supplies, long leg cylinder cast, pediatric (0-10 years), fiberglass—Jul 1, 2001Active
Q4037Cast supplies, short leg cast, adult (11 years +), plaster—Jul 1, 2001Active
Q4038Cast supplies, short leg cast, adult (11 years +), fiberglass—Jul 1, 2001Active
Q4039Cast supplies, short leg cast, pediatric (0-10 years), plaster—Jul 1, 2001Active
Q4040Cast supplies, short leg cast, pediatric (0-10 years), fiberglass—Jul 1, 2001Active
Q4041Cast supplies, long leg splint, adult (11 years +), plaster—Jul 1, 2001Active
Q4042Cast supplies, long leg splint, adult (11 years +), fiberglass—Jul 1, 2001Active
Q4043Cast supplies, long leg splint, pediatric (0-10 years), plaster—Jul 1, 2001Active
Q4044Cast supplies, long leg splint, pediatric (0-10 years), fiberglass—Jul 1, 2001Active
Q4045Cast supplies, short leg splint, adult (11 years +), plaster—Jul 1, 2001Active
Q4046Cast supplies, short leg splint, adult (11 years +), fiberglass—Jul 1, 2001Active
Q4047Cast supplies, short leg splint, pediatric (0-10 years), plaster—Jul 1, 2001Active
Q4048Cast supplies, short leg splint, pediatric (0-10 years), fiberglass—Jul 1, 2001Active
Q4049Finger splint, static—Jul 1, 2001Active
Q4050Cast supplies, for unlisted types and materials of castsNOC / NOS—Jul 1, 2001Active
Q4051Splint supplies, miscellaneous (includes thermoplastics, strapping, fasteners, padding and other supplies)NOC / NOS—Jul 1, 2001Active
Q4074Iloprost, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 20 micrograms—Jan 1, 2010Active
Q4081Injection, epoetin alfa, 100 units (for esrd on dialysis)$0.667per 100 UNITSJan 1, 2007Active
Q4082Drug or biological, not otherwise classified, part b drug competitive acquisition program (cap)NOC / NOS—Jan 1, 2007Active
Q4100Skin substitute, not otherwise specifiedNOC / NOS—Jan 1, 2009Ended Dec 31, 2025
Q4101Apligraf, per square centimeter (add-on, list separately in addition to primary procedure)—Jan 1, 2009Active
Q4102Oasis wound matrix, per square centimeter (add-on, list separately in addition to primary procedure)—Jan 1, 2009Active
Q4103Oasis burn matrix, per square centimeter (add-on, list separately in addition to primary procedure)—Jan 1, 2009Active
Q4104Integra bilayer matrix wound dressing (bmwd), per square centimeter (add-on, list separately in addition to primary procedure)—Jan 1, 2009Active
Q4105Integra dermal regeneration template (drt) or integra omnigraft dermal regeneration matrix, per square centimeter (add-on, list separately in addition to primary procedure)—Jan 1, 2009Active
Q4106Dermagraft, per square centimeter—Jan 1, 2009Ended Dec 31, 2025
Q4107Graftjacket, per square centimeter (add-on, list separately in addition to primary procedure)—Jan 1, 2009Active
Q4108Integra matrix, per square centimeter (add-on, list separately in addition to primary procedure)—Jan 1, 2009Active
Q4110Primatrix, per square centimeter (add-on, list separately in addition to primary procedure)—Jan 1, 2009Active
Q4111Gammagraft, per square centimeter (add-on, list separately in addition to primary procedure)—Jan 1, 2009Active
Q4112Cymetra, injectable, 1 cc—Jan 1, 2009Active
Q4113Graftjacket xpress, injectable, 1 cc—Jan 1, 2009Active
Q4114Integra flowable wound matrix, injectable, 1 cc—Jan 1, 2009Active
Q4115Alloskin, per square centimeter (add-on, list separately in addition to primary procedure)—Jul 1, 2009Active
Q4116Alloderm, per square centimeter (add-on, list separately in addition to primary procedure)—Jul 1, 2009Active
Q4117Hyalomatrix, per square centimeter (add-on, list separately in addition to primary procedure)—Jan 1, 2011Active
Q4118Matristem micromatrix, 1 mg—Jan 1, 2011Active
Q4119Matristem wound matrix, per square centimeter—Jan 1, 2011Ended Dec 31, 2016
Q4120Matristem burn matrix, per square centimeter—Jan 1, 2011Ended Dec 31, 2016
Q4121Theraskin, per square centimeter (add-on, list separately in addition to primary procedure)—Jan 1, 2011Active
Q4122Dermacell, dermacell awm or dermacell awm porous, per square centimeter (add-on, list separately in addition to primary procedure)—Jan 1, 2012Active
Q4123Alloskin rt, per square centimeter (add-on, list separately in addition to primary procedure)—Jan 1, 2012Active
Q4124Oasis ultra tri-layer wound matrix, per square centimeter (add-on, list separately in addition to primary procedure)—Jan 1, 2012Active
Q4125Arthroflex, per square centimeter (add-on, list separately in addition to primary procedure)—Jan 1, 2012Active
Q4126Memoderm, dermaspan, tranzgraft or integuply, per square centimeter (add-on, list separately in addition to primary procedure)—Jan 1, 2012Active
Q4127Talymed, per square centimeter (add-on, list separately in addition to primary procedure)—Jan 1, 2012Active