HCPCS code Q1004 — Ntiol category 4.
Status: Active.
Effective Oct 1, 2003.
Source: CMS HCPCS Level II.
Q1004
ActiveNtiol category 4
New technology intraocular lens category 4 as defined in federal register notice
Category:
Temporary
Section:
Q-codes: Temporary Codes
Effective:
Oct 1, 2003
Code type:
alphanumeric
OPPS Status:
E1
— Items / services not paid by Medicare
MUE — Medically Unlikely Edits
Maximum units of Q1004 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.
| Service Type | Max Units / Day |
|---|---|
| DME Supplier | 0 |
| Outpatient Hospital | 0 |
| Practitioner Services | 2 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NCCI Edits
The following codes cannot be billed together with Q1004 without appropriate documentation.
| Column 2 Code | Modifier |
|---|---|
| Q1005 | Modifier may bypass edit |
Source: CMS National Correct Coding Initiative (NCCI)