HCPCS Code Details - Q4074

HCPCS Level II Code
Miscellaneous Services (Temporary Codes)
HCPCS Code Q4074
Description

Long description:
Iloprost, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 20 micrograms

Short description:
Iloprost non-comp unit dose

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 D1G - Drugs Administered through DME
HCPCS Action code N - No maintenance for this code
Type of service 1 - Medical care
Effective date Effective Jan 01, 2010
Date added 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 - Q4074

Effective Code Dosage Payment
Limit
Vaccine AWP % Vaccine Limit Infusion AWP % DME infusion limit Blood AWP % Blood limit Clotting factor Note
April 1, 2021 - June 30, 2021 UP TO 20 MCG 140.322 - - - - - -
January 1, 2021 - March 31, 2021 UP TO 20 MCG 140.088 - - - - - -
October 1, 2020 - December 31, 2020 UP TO 20 MCG 140.23 - - - - - -
July 1, 2020 - September 30, 2020 UP TO 20 MCG 140.242 - - - - - -
April 1, 2020 - June 30, 2020 UP TO 20 MCG 140.132 - - - - - -

See also

  • HCPCS Q4051 · Splint supplies, miscellaneous (includes thermoplastics, strapping, fasteners, padding and other supplies)

  • HCPCS Q4081 · Injection, epoetin alfa, 100 units (for esrd on dialysis)


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”