HCPCS Range Miscellaneous Drugs and Tests

• 1 Cardiokymography ( Q0035 )

• 2 Infusion therapy, using other than chemotherapeutic drugs, per visit ( Q0081 )

• 3 Chemotherapy administration by other than infusion technique only e.g., subcutaneous, intramuscular, push), per visit ( Q0083 )

• 4 Chemotherapy administration by infusion technique only, per visit ( Q0084 )

• 5 Chemotherapy administration by both infusion technique and other technique(s) e.g., subcutaneous, intramuscular, push), per visit ( Q0085 )

• 6 Screening Papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory ( Q0091 )

• 7 Set-up portable X-ray equipment ( Q0092 )

• 8 Wet mounts, including preparations of vaginal, cervical or skin specimens ( Q0111 )

• 9 All potassium hydroxide (KOH) preparations ( Q0112 )

• 10 Pinworm examinations ( Q0113 )

• 11 Fern test ( Q0114 )

• 12 Post-coital direct, qualitative examinations of vaginal or cervical mucous ( Q0115 )

• 13 Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-ESRD use) ( Q0138 )

• 14 Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (for ESRD on dialysis) ( Q0139 )

• 15 Azithromycin dihydrate, oral, capsules/powder, 1 gram ( Q0144 )