HCPCS code Q2043 — Sipuleucel-t auto cd54+. Status: Active. Effective Jul 1, 2011. Source: CMS HCPCS Level II.

Q2043

Active

Sipuleucel-t auto cd54+

Sipuleucel-t, minimum of 50 million autologous cd54+ cells activated with pap-gm-csf, including leukapheresis and all other preparatory procedures, per infusion

Category: Temporary
Section: Q-codes: Temporary Codes
Effective: Jul 1, 2011
Code type: alphanumeric
OPPS Status: K — Non-pass-through drugs and biologicals
OPPS APC: 9273

MUE — Medically Unlikely Edits

Maximum units of Q2043 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
Outpatient Hospital 1
Practitioner Services 1

Source: CMS Medicare NCCI Medically Unlikely Edits

NCCI Edits

The following codes cannot be billed together with Q2043 without appropriate documentation.

Column 2 Code Modifier
G0380 Modifier may bypass edit
G0381 Modifier may bypass edit
G0382 Modifier may bypass edit
G0383 Modifier may bypass edit
G0384 Modifier may bypass edit
G0463 Modifier may bypass edit
G0471 Modifier may bypass edit

Source: CMS National Correct Coding Initiative (NCCI)

NDC Crosswalk

National Drug Codes (NDCs) mapped to this HCPCS code.

NDC Drug Name
30237-8900-06 Provenge