HCPCS code Q4081 — Epoetin alfa, 100 units esrd.
Status: Active.
Effective Jan 1, 2007.
Source: CMS HCPCS Level II.
Q4081
ActiveEpoetin alfa, 100 units esrd
Injection, epoetin alfa, 100 units (for esrd on dialysis)
Category:
Temporary
Section:
Q-codes: Temporary Codes
Effective:
Jan 1, 2007
Code type:
alphanumeric
OPPS Status:
N
— Items / services packaged into APC rates
MUE — Medically Unlikely Edits
Maximum units of Q4081 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 | 400 |
| Practitioner Services | 100 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NDC Crosswalk
National Drug Codes (NDCs) mapped to this HCPCS code.
| NDC | Drug Name |
|---|---|
| 55513-0126-10 | Epogen |
| 55513-0144-10 | Epogen |
| 55513-0148-10 | Epogen |
| 55513-0267-10 | Epogen |
| 55513-0283-10 | Epogen |
| 55513-0478-10 | Epogen |
| 59676-0302-01 | Procrit |
| 59676-0303-01 | Procrit |
| 59676-0304-01 | Procrit |
| 59676-0310-01 | Procrit |
| 59676-0310-02 | Procrit |
| 59676-0312-04 | Procrit |
| 59676-0320-04 | Procrit |
| 59676-0340-01 | Procrit |