Q2043 HCPCS - SIPULEUCEL-T, MINIMUM OF 50 MILLION AUTOLOGOUS CD54+ CELLS ACTIVATED WITH PAP-GM-CSF, INCLUDING LEUKAPHERESIS AND ALL OTHER PREPARATORY PROCEDURES, PER INFUSION

Code Information

HCPCS Code: Q2043

Sequence Number: 0010

Short Description: Sipuleucel-t auto cd54+

Long Description: Sipuleucel-t, minimum of 50 million autologous cd54+ cells activated with pap-gm-csf, including leukapheresis and all other preparatory procedures, per infusion

Code Added Date: 7/1/2011

Action Code: N - No maintenance for this code

Action Effective Date: 7/1/2011

Classification: Temporary Codes

Coding System: HCPCS

Code Type

Berenson-Eggers Type Of Service Code: P1G - Major procedure - Other
Type Of Service Code:
  • 1 - Whole blood only eff 01/96, whole blood or packed red cells before 01/96

Billing Information

Pricing Indicator Code:
  • 53 - Statute
Multiple Pricing Indicator Code: A - Not applicable as HCPCS priced under one methodology
Coverage Issues Manual Reference Section Number:
    N/A
    Medicare Carriers Manual Reference Section Number:
      N/A
      Coverage Code: D - Special coverage instructions apply
      ASC Payment Group Effective Date:7/1/2011

      HCPCS Record

      Field Name Field Value
      Healthcare Common Procedure Coding System Code Q2043
      HCPCS Sequence Number 0010
      HCPCS Record Identification Code 3 - First line of procedure record also contains detail information in positions 92-275
      HCPCS Long Description Sipuleucel-t, minimum of 50 million autologous cd54+ cells activated with pap-gm-csf, including leukapheresis and all other preparatory procedures, per infusion
      HCPCS Short Description Sipuleucel-t auto cd54+
      HCPCS Pricing Indicator Code 1 53 - Statute
      HCPCS Multiple Pricing Indicator Code A - Not applicable as HCPCS priced under one methodology
      HCPCS Coverage Code D - Special coverage instructions apply
      HCPCS ASC Payment Group Code YY
      HCPCS ASC Payment Group Effective Date 7/1/2011
      HCPCS Processing Note Number 0175
      HCPCS Berenson-Eggers Type Of Service Code P1G - Major procedure - Other
      HCPCS Type Of Service Code 1 1 - Whole blood only eff 01/96, whole blood or packed red cells before 01/96
      HCPCS Anesthesia Base Unit Quantity 0
      HCPCS Code Added Date 7/1/2011
      HCPCS Action Effective Date 7/1/2011
      HCPCS Action Code N - No maintenance for this code

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      This page was last updated on: 1/1/2018