HCPCS Code Details - Q2041

HCPCS Level II Code
Miscellaneous Services (Temporary Codes)
HCPCS Code Q2041
Description

Long description:
Axicabtagene ciloleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose

Short description:
Axicabtagene ciloleucel car+

HCPCS Modifier1
HCPCS Pricing indicator 51 - Drugs
Multiple pricing indicator A - Not applicable as HCPCS priced under one methodology
Coverage code C - Carrier judgment
BETOS2 code O1E - Other drugs
HCPCS Action code N - No maintenance for this code
Type of service 1 - Medical care
Effective date Effective Jan 01, 2019
Date added Added Apr 01, 2018
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 - Q2041

Effective Code Dosage Payment
Limit
Vaccine AWP % Vaccine Limit Infusion AWP % DME infusion limit Blood AWP % Blood limit Clotting factor Note
April 1, 2024 - June 30, 2024 UP TO 200 MILLION CAR T CELLS 459381.446 - - - - - -
January 1, 2024 - March 31, 2024 UP TO 200 MILLION CAR T CELLS 449440 - - - - - -
October 1, 2023 - December 31, 2023 UP TO 200 MILLION CAR T CELLS 449341.851 20% - - - - -
Jul 1, 2023 - Sep 30, 2023 UP TO 200 MILLION CAR T CELLS 449440 20% - - - - -
April 1, 2023 - June 30, 2023 UP TO 200 MILLION CAR T CELLS 449245.861 19.937% - - - - -

See also

  • HCPCS Q2040 · Tisagenlecleucel, up to 250 million car-positive viable t cells, including leukapheresis and dose preparation procedures, per infusion

  • HCPCS Q2042 · Tisagenlecleucel, up to 600 million car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose


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”