Table of content for "Ferumoxytol, esrd use" (HCPCS Q0139)
General information on the “Q0139” code
HCPCS Code: Q0139
Long Description: Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (for esrd on dialysis)
Short Description: Ferumoxytol, esrd use
Original information is taken from Q0139 page
Pricing indicators
Pricing Indicator Code 1: 51 – Drugs
Multiple Pricing Indicator Code A : Not applicable as HCPCS priced under one methodology
Certification and additional reference information
Coverage
Coverage: C – Carrier judgment
ASC Payment Group: YY
ASC Payment Group Effective Date: 20170101
Type of service
Berenson-Eggers Type of Service (BETOS): O1E – Other drugs
Type Of Service 1: 1 – Medical care
Type Of Service 2: P – Lump sum purchase of DME, prosthetics, orthotics
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 20100101
Code Effective Date: 20170101
Action Code: N – No maintenance for this code