Question 1

What is HCPCS code Q2054?

Accepted Answer

HCPCS code Q2054 is "Lisocabtagene mara car pos t". Lisocabtagene maraleucel, up to 110 million autologous anti-cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose

Question 2

What category is Q2054 in?

Accepted Answer

Q2054 belongs to HCPCS Category Q (Temporary Codes).

Question 3

When should I use HCPCS code Q2054?

Accepted Answer

Use Q2054 when billing for lisocabtagene mara car pos t. 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 Q2054 covered by Medicare?

Accepted Answer

Coverage for Q2054 (Lisocabtagene mara car pos t) 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 Q2054?

Accepted Answer

Documentation for Q2054 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).