Question 1

What is HCPCS code Q0081?

Accepted Answer

HCPCS code Q0081 is "Infusion ther other than che". Infusion therapy, using other than chemotherapeutic drugs, per visit

Question 2

What category is Q0081 in?

Accepted Answer

Q0081 belongs to HCPCS Category Q (Temporary Codes).

Question 3

When should I use HCPCS code Q0081?

Accepted Answer

Use Q0081 when billing for infusion ther other than che. HCPCS Level II codes like this are used for items and services not covered by CPT codes, including medical supplies, equipment, drugs administered in clinical settings, and certain healthcare services.

Question 4

Is Q0081 covered by Medicare?

Accepted Answer

Coverage for Q0081 (Infusion ther other than che) depends on medical necessity and specific Medicare guidelines. Check the applicable Local Coverage Determination (LCD) or National Coverage Determination (NCD) for detailed coverage criteria. Private insurers may have different coverage policies.

Question 5

What documentation is required for Q0081?

Accepted Answer

Documentation for Q0081 should include: the medical necessity for the item or service, supporting diagnosis codes (ICD-10), prescription or order from the treating physician, and proof that the item meets quality standards. Some items may require additional documentation like a Certificate of Medical Necessity (CMN).