No. Q9986 is a HCPCS Level II code, maintained by CMS, that identifies the drug supplied. 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.

What is one billing unit of Q9986?

One unit of Q9986 is 10 mg, as stated in the code's descriptor. Units to report = dose given ÷ 10 mg.

Q9986 (Retired 2017) — Makena, 10 mg

Q9986 was retired on Dec 31, 2017

CMS ended Q9986 after Dec 31, 2017. Don’t report it for later dates of service. Current codes for the same drug:

Code

CMS HCPCS file

HCPCS codeQ9986

Billing unit10 mg

Descriptor: Injection, hydroxyprogesterone caproate, (makena), 10 mg
Short descriptor: Makena, 10 mg
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 Q9986 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

Q9986: common questions

Is Q9986 a CPT code?: No. Q9986 is a HCPCS Level II code, maintained by CMS, that identifies the drug supplied. 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 is one billing unit of Q9986?: One unit of Q9986 is 10 mg, as stated in the code's descriptor. Units to report = dose given ÷ 10 mg. J-code billing units.

Q9986 — Injection, hydroxyprogesterone caproate, (makena), 10 mg

Code

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Q9986: common questions

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