HCPCS Code Details - Q2056

HCPCS Level II Code
Miscellaneous Services (Temporary Codes)
HCPCS Code Q2056
Description

Long description:
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

Short description:
Ciltacabtagene car-pos t

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 O1D - Chemotherapy
HCPCS Action code N - No maintenance for this code
Type of service 1 - Medical care
Effective date Effective Oct 01, 2022
Date added Added Oct 01, 2022
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 - Q2056

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 100 million autologous b-cell maturation antigen (bcma) di 507495.551 - - - - - -
January 1, 2024 - March 31, 2024 up to 100 million autologous b-cell maturation antigen (bcma) di 507195.92 - - - - - -
October 1, 2023 - December 31, 2023 up to 100 million autologous b-cell maturation antigen (bcma) di 497024.646 20% - - - - -
Jul 1, 2023 - Sep 30, 2023 up to 100 million autologous b-cell maturation antigen (bcma) di 492900 20% - - - - -

See also

  • HCPCS Q2055 · Idecabtagene vicleucel, up to 460 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose

  • HCPCS C9098 · 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

  • HCPCS Q3001 · Radioelements for brachytherapy, any type, each


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”