Q2055 HCPCS - IDECABTAGENE VICLEUCEL, UP TO 510 MILLION AUTOLOGOUS B-CELL MATURATION ANTIGEN (BCMA) DIRECTED CAR-POSITIVE T CELLS, INCLUDING LEUKAPHERESIS AND DOSE PREPARATION PROCEDURES, PER THERAPEUTIC DOSE

Code Information

HCPCS Code: Q2055
Sequence Number: 0010
Short Description: Idecabtagene vicleucel car
Long Description: Idecabtagene vicleucel, up to 510 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose
Date Added: 1/1/2022
Action Code: C - Change in long description of procedure or modifier code
Action Effective Date: 4/4/2024
Classification: Temporary Codes
Coding System: HCPCS

Berenson-Eggers Type Of Service Code: O1D - Chemotherapy
Type Of Service Code:
- 1 - Whole blood only eff 01/96, whole blood or packed red cells before 01/96
- P - Lump sum purchase of DME, prosthetics, orthotics

Pricing Indicator Code:
- 51 - Drugs
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: C - Carrier judgment

Field Name	Field Value
Healthcare Common Procedure Coding System Code	Q2055
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	Idecabtagene vicleucel, up to 510 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose
HCPCS Short Description	Idecabtagene vicleucel car
HCPCS Pricing Indicator Code 1	51 - Drugs
HCPCS Multiple Pricing Indicator Code	A - Not applicable as HCPCS priced under one methodology
HCPCS Coverage Code	C - Carrier judgment
HCPCS Berenson-Eggers Type Of Service Code	O1D - Chemotherapy
HCPCS Type Of Service Code 1	1 - Whole blood only eff 01/96, whole blood or packed red cells before 01/96
HCPCS Type Of Service Code 2	P - Lump sum purchase of DME, prosthetics, orthotics
HCPCS Anesthesia Base Unit Quantity	0
HCPCS Code Added Date	1/1/2022
HCPCS Action Effective Date	4/4/2024
HCPCS Action Code	C - Change in long description of procedure or modifier code