2025 HCPCS Code Q0235

Injection, monoclonal antibody products with an indication for post-exposure prophylaxis or treatment of covid-19, for hospitalized adults and/or pediatric patients who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, not otherwise classified, 1 mg

TAGS: systemic indication patients invasive corticosteroids extracorporeal receiving supplemental pediatric hospitalized oxygenation products prophylaxis require membrane antibody adults mechanical treatment monoclonal

Short DescriptionInj, monoclon antibody, 1 mg
HCPCS Coverage Code C - Carrier judgment
HCPCS Action Code A - Add procedure or modifier code
HCPCS Action Effective Date October 01, 2025
HCPCS Code Added Date October 01, 2025
HCPCS Pricing Indicator Code 54 - Vaccinations
HCPCS Multiple Pricing Indicator Code A - Not applicable as HCPCS priced under one methodology
HCPCS Coverage Issues Manual Reference Section Number
HCPCS Type Of Service Code V - Pneumococcal/flu vaccine (eff 01/96), Pneumococcal/flu/hepatitis B vaccine (eff 04/95-12/95), Pneumococcal only before 04/95
HCPCS Anesthesia Base Unit Quantity 0

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