2021/2022 HCPCS Code Q4081

Injection, epoetin alfa, 100 units (for esrd on dialysis)
Short Description Epoetin alfa, 100 units esrd
HCPCS Coverage Code D = Special coverage instructions apply
HCPCS Action Code N = No maintenance for this code
HCPCS Action Effective Date January 01, 2007
HCPCS Code Added Date January 01, 2007
HCPCS Pricing Indicator Code 57 = Other carrier priced
HCPCS Multiple Pricing Indicator Code A = Not applicable as HCPCS priced under one methodology
HCPCS Medicare Carriers Manual Reference Section Number 4273.1
HCPCS Type Of Service Code 1 = Medical care
L = ESRD supplies (eff 04/95) (renal supplier in the home before 04/95)
HCPCS Anesthesia Base Unit Quantity 0