Q20 — HCPCS Level II Codes

• Q2004 Irrigation solution for treatment of bladder calculi, for example renacidin, per 500 ml billable
• Q2009 Injection, fosphenytoin, 50 mg phenytoin equivalent billable
• Q2026 Injection, radiesse, 0.1 ml billable
• Q2028 Injection, sculptra, 0.5 mg billable
• Q2034 Influenza virus vaccine, split virus, for intramuscular use (agriflu) billable
• Q2035 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) billable
• Q2036 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) billable
• Q2037 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) billable
• Q2038 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) billable
• Q2039 Influenza virus vaccine, not otherwise specified billable
• Q2041 Axicabtagene ciloleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose billable
• Q2042 Tisagenlecleucel, up to 600 million car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose billable
• Q2043 Sipuleucel-t, minimum of 50 million autologous cd54+ cells activated with pap-gm-csf, including leukapheresis and all other preparatory procedures, per infusion billable
• Q2049 Injection, doxorubicin hydrochloride, liposomal, imported lipodox, 10 mg billable
• Q2050 Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg billable
• Q2052 Services, supplies and accessories used in the home for the administration of intravenous immune globulin (ivig) billable
• Q2053 Brexucabtagene autoleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose billable
• Q2054 Lisocabtagene maraleucel, up to 110 million autologous anti-cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose billable
• Q2055 Idecabtagene 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 billable
• Q2056 Ciltacabtagene 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 billable
• Q2057 Afamitresgene autoleucel, including leukapheresis and dose preparation procedures, per therapeutic dose billable
• Q2058 Obecabtagene autoleucel, 10 up to 400 million cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per infusion billable