Question 1

What is HCPCS code Q0085?

Accepted Answer

HCPCS code Q0085 is "Chemo by both infusion and o". Chemotherapy administration by both infusion technique and other technique(s) (e.g., subcutaneous, intramuscular, push), per visit

Question 2

What category is Q0085 in?

Accepted Answer

Q0085 belongs to HCPCS Category Q (Temporary Codes).

Question 3

When should I use HCPCS code Q0085?

Accepted Answer

Use Q0085 when billing for chemo by both infusion and o. 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 Q0085 covered by Medicare?

Accepted Answer

Coverage for Q0085 (Chemo by both infusion and o) 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 Q0085?

Accepted Answer

Documentation for Q0085 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).