HCPCS Code Details - Q0139

2017 HCPCS Level II Code
Miscellaneous Services (Temporary Codes)
HCPCS Code Q0139
Description

Long description:
Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (for esrd on dialysis)

Short description:
Ferumoxytol, esrd use

HCPCS Modifier1
HCPCS Pricing indicator 51 - Drugs
Multiple pricing indicator A - Not applicable as HCPCS priced under one methodology
Coverage code C - Carrier judgment
ASC payment group code Effective Jan 01, 2017 - This procedure is approved to be performed in an ambulatory surgical center.
BETOS2 code O1E - Other drugs
HCPCS Action code P - Payment change (MOG, pricing indicator codes, anesthesia base units,Ambulatory Surgical Centers)
Type of service 1 - Medical care
Effective date Effective Jan 01, 2017
Date added Jan 01, 2010
HCPCS Coding Procedures

HCPCS Modifiers

In HCPCS Level II, modifiers are composed of two alpha or alphanumeric characters.

Example: E0260-NU - Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress
NU” identifies the hospital bed as new equipment

ASP Drug pricing - Q0139

Effective Code Dosage Payment
Limit
Vaccine AWP % Vaccine Limit Infusion AWP % DME infusion limit Blood AWP % Blood limit Clotting factor Note
July 1, 2017 - September 30, 2017 1 MG 0.891 - - - - - -
April 1, 2017 - June 30, 2017 1 MG 0.892 - - - - - -
January 1, 2017 - March 31, 2017 1 MG 0.886 - - - - - -
October 1, 2016 - December 31, 2016 1 MG 0.883 - - - - - -
July 1, 2016 - September 30, 2016 1 MG 0.86 - - - - - -
1 MG 0.836 - - - - - -
1 MG 0.823 - - - - - -

See also

  • HCPCS Q0138 · Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use)

  • HCPCS Q0144 · Azithromycin dihydrate, oral, capsules/powder, 1 gram


1 Two-digit numeric codes are Level I code modifiers copyrighted© by the American Medical Association's Current Procedural Terminology (CPT).

2 BETOS stands for “Berenson-Eggers Type Of Service”