HCPCS Range Miscellaneous Drug and New Technology Codes

• 1 Injection, sermorelin acetate, 1 microgram ( Q0515 )

• 2 New technology intraocular lens category 4 as defined in Federal Register notice ( Q1004 )

• 3 New technology intraocular lens category 5 as defined in Federal Register notice ( Q1005 )

• 4 Irrigation solution for treatment of bladder calculi, for example renacidin, per 500 ml ( Q2004 )

• 5 Injection, fosphenytoin, 50 mg phenytoin equivalent ( Q2009 )

• 6 Injection, teniposide, 50 mg ( Q2017 )

• 7 Injection, Radiesse, 0.1 ml ( Q2026 )

• 8 Injection, sculptra, 0.5 mg ( Q2028 )

• 9 Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved prescription drug, per 30-days ( Q0516 )

• 10 Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved prescription drug, per 60-days ( Q0517 )

• 11 Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved prescription drug, per 90-days ( Q0518 )