HCPCS Code Details - Q4081

HCPCS Level II Code
Miscellaneous Services (Temporary Codes)
HCPCS Code Q4081
Description

Long description:
Injection, epoetin alfa, 100 units (for esrd on dialysis)

Short description:
Epoetin alfa, 100 units esrd

HCPCS Modifier1
HCPCS Pricing indicator 57 - Other carrier priced
Multiple pricing indicator A - Not applicable as HCPCS priced under one methodology
Coverage code D - Special coverage instructions apply
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, 2007
Date added Added Jan 01, 2007
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 - Q4081

Effective Code Dosage Payment
Limit
Vaccine AWP % Vaccine Limit Infusion AWP % DME infusion limit Blood AWP % Blood limit Clotting factor Note
Jul 1, 2021 - Sep 30, 2021 100 UNITS 0.822 - - - - - -
April 1, 2021 - June 30, 2021 100 UNITS 0.854 - - - - - -
January 1, 2021 - March 31, 2021 100 UNITS 0.882 - - - - - -
October 1, 2020 - December 31, 2020 100 UNITS 0.911 - - - - - -
July 1, 2020 - September 30, 2020 100 UNITS 0.97 - - - - - -

See also

  • HCPCS Q4074 · Iloprost, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 20 micrograms

  • HCPCS J0885 · Injection, epoetin alfa, (for non-esrd use), 1000 units

  • HCPCS J0886 · Injection, epoetin alfa, 1000 units (for esrd on dialysis)

  • HCPCS Q4082 · Drug or biological, not otherwise classified, part b drug competitive acquisition program (cap)


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”