Q9985 was retired on Dec 31, 2017

CMS ended Q9985 after Dec 31, 2017. Don’t report it for later dates of service. Current codes for the same drug:

Code

CMS HCPCS file
HCPCS codeQ9985
Billing unit10 mg
Descriptor
Injection, hydroxyprogesterone caproate, not otherwise specified, 10 mg
Short descriptor
Inj hydroxyprogst capoat nos
Code set
HCPCS Level II, maintained by CMS
Effective
Jan 1, 2018

The billing unit is read from the descriptor. Confirm it against the CMS file before billing.

Find the NDC

Med-Code hasn’t mapped Q9985 to specific products yet. Search the FDA NDC Directory for the drug named in the descriptor, and check the route and strength match the code.

Search NDCs for hydroxyprogesterone caproate

Q9985: common questions

Is Q9985 a CPT code?
No. Q9985 is a HCPCS Level II code, maintained by CMS, that identifies a drug with no specific code of its own. CPT codes are five-digit numbers from the AMA that describe services. Giving the drug, for example an injection or infusion, is usually reported with a separate CPT administration code. CPT codes for drug administration.
What NDC goes with Q9985?
None is fixed. Q9985 is used for drugs that have no specific HCPCS code, so the claim carries the NDC of the drug actually given and its quantity, and payers usually also ask for the drug name and dose. How to find a J-code.

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