Question 1

What is HCPCS code Q2041?

Accepted Answer

HCPCS code Q2041 is "Axicabtagene ciloleucel car+". Axicabtagene ciloleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose

Question 2

What category is Q2041 in?

Accepted Answer

Q2041 belongs to HCPCS Category Q (Temporary Codes).

Question 3

When should I use HCPCS code Q2041?

Accepted Answer

Use Q2041 when billing for axicabtagene ciloleucel car+. 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 Q2041 covered by Medicare?

Accepted Answer

Coverage for Q2041 (Axicabtagene ciloleucel car+) 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 Q2041?

Accepted Answer

Documentation for Q2041 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).