Browse HCPCS Level II 2020 Edition

HCPCS Level II Table of Contents

Q0510 - Q0514  Fee, Pharmacy (CMS Temporary Codes)

Q0510
Pharmacy supply fee for initial immunosuppressive drug(s), first month following transplant
shortDispens fee immunosupressive
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA0.03 Date of Service Edit: ClinicalCMS Policy
OPH1.02 Date of Service Edit: PolicyCMS Policy
DME1.02 Date of Service Edit: PolicyCMS Policy
Q0511
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period
shortSup fee antiem,antica,immuno
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA0.03 Date of Service Edit: ClinicalCMS Policy
OPH1.02 Date of Service Edit: PolicyCMS Policy
DME1.02 Date of Service Edit: PolicyCMS Policy
Q0512
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period
shortPx sup fee anti-can sub pres
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA0.03 Date of Service Edit: ClinicalCMS Policy
OPH4.03 Date of Service Edit: ClinicalClinical: Data
DME4.03 Date of Service Edit: ClinicalClinical: Data
Q0513
Pharmacy dispensing fee for inhalation drug(s); per 30 days
shortDisp fee inhal drugs/30 days
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA0.03 Date of Service Edit: ClinicalCMS Policy
OPH1.02 Date of Service Edit: PolicyCode Descriptor / CPT Instruction
DME1.02 Date of Service Edit: PolicyCode Descriptor / CPT Instruction
Q0514
Pharmacy dispensing fee for inhalation drug(s); per 90 days
shortDisp fee inhal drugs/90 days
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA0.03 Date of Service Edit: ClinicalCMS Policy
OPH1.02 Date of Service Edit: PolicyCode Descriptor / CPT Instruction
DME1.02 Date of Service Edit: PolicyCode Descriptor / CPT Instruction