Just a few months after HCPCS Level II received its 2018 updates, new changes are already in store. Effective April 1st, the Centers for Medicare and Medicaid Services (CMS) will release several quarterly modifications to to its codes. Thankfully, AAPC has outlined the following useful table of Q code changes:

HCPCS

Long Description

Action

Short Description

Effective  Date

Special Notes (Any reference or xref code)

QE

Prescribed Amount Of Stationary Oxygen While At Rest Is Less Than 1 Liter Per Minute (LPM)Revise textStationary o2 @ rest <1 LPM4/1/2018

QF

Prescribed Amount Of Stationary Oxygen While At Rest Exceeds 4 Liters Per Minute (LPM) And Portable Oxygen Is PrescribedRevise textStation o2 @ rest >4LPM/port4/1/2018

QG

Prescribed Amount Of Stationary Oxygen While At Rest Is Greater Than 4 Liters Per Minute (LPM)Revise textStation o2 @ rest > 4 LPM4/1/2018

QA

Prescribed Amounts Of Stationary Oxygen For Daytime Use While At Rest And Nighttime Use Differ And The Average Of The Two Amounts Is Less Than 1 Liter Per Minute (LPM)AddAvg sta day/night o2 < 1 LPM4/1/2018

QB

Prescribed Amounts Of Stationary Oxygen For Daytime Use While At Rest And Nighttime Use Differ And The Average Of The Two Amounts Exceeds 4 Liters Per Minute (LPM) And Portable Oxygen Is PrescribedAddAvg day/nite o2 > 4 LPM/port4/1/2018

QR

Prescribed Amounts Of Stationary Oxygen For Daytime Use While At Rest And Nighttime Use Differ And The Average Of The Two Amounts Is Greater Than 4 Liters Per Minute (LPM)AddAvg sta day/night o2 > 4 LPM4/1/2018

Q5101

Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgramRevise textInjection, zarxio4/1/2018

Q5102

Discontinue4/1/2018

Q5103

Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mgAddInjection, inflectra4/1/2018

Processing Note:  0187

Q5104

Injection, infliximab-abda, biosimilar, (renflexis), 10 mgAddInjection, renflexis4/1/2018

Processing Note:  0187

Q2041

Axicabtagene Ciloleucel, up to 200 Million Autologous Anti-CD19 CAR T Cells, Including Leukapheresis And Dose Preparation Procedures, Per InfusionAddAxicabtagene ciloleucel car+4/1/2018

1

This table only reflects Q code changes, so be sure to check back for more updates in the second part of this series.