Search by Drug Name, NDC or Jcode

    Internal Navigation

    HCPCS Details

    HCPC Q4170
    Short Description Cygnus, per sq cm
    Long Description Cygnus, per square centimeter
    Pricing indicator 51
    Coverage code C
    ASC payment group code
    BETOS2 code O1E
    Action code N
    Type of service 1
    Effective date 2017-01-01
    Date Added 2017-01-01

    HCPCS/NDC Cross-Walk

    NDC HCPC Description Drug Name Labeler Name HCPCS Dosage PKG Size PKG QTY Bill Units Bill Units PKG
    CAM020200S Q4170 Cygnus, per sq cm CYGNUS MAX VIVEX BIOLOGICS 1 SQ CM 4 1 4 4
    CAM020300S Q4170 Cygnus, per sq cm CYGNUS MAX VIVEX BIOLOGICS 1 SQ CM 6 1 6 6
    CAM020400S Q4170 Cygnus, per sq cm CYGNUS MAX VIVEX BIOLOGICS 1 SQ CM 8 1 8 8
    CAM030300S Q4170 Cygnus, per sq cm CYGNUS MAX VIVEX BIOLOGICS 1 SQ CM 9 1 9 9
    CAS020200S Q4170 Cygnus, per sq cm CYGNUS SOLO VIVEX BIOLOGICS 1 SQ CM 4 1 4 4
    CAS020300S Q4170 Cygnus, per sq cm CYGNUS SOLO VIVEX BIOLOGICS 1 SQ CM 6 1 6 6
    CAS030300S Q4170 Cygnus, per sq cm CYGNUS SOLO VIVEX BIOLOGICS 1 SQ CM 9 1 9 9
    CAS040400S Q4170 Cygnus, per sq cm CYGNUS SOLO VIVEX BIOLOGICS 1 SQ CM 16 1 16 16
    CAS040600S Q4170 Cygnus, per sq cm CYGNUS SOLO VIVEX BIOLOGICS 1 SQ CM 24 1 24 24
    CAS040800S Q4170 Cygnus, per sq cm CYGNUS SOLO VIVEX BIOLOGICS 1 SQ CM 32 1 32 32
    CAS070700S Q4170 Cygnus, per sq cm CYGNUS SOLO VIVEX BIOLOGICS 1 SQ CM 49 1 49 49
    CAX020300S Q4170 Cygnus, per sq cm CYGNUS MAX XL VIVEX BIOLOGICS 1 SQ CM 6 1 6 6
    CAX040400S Q4170 Cygnus, per sq cm CYGNUS MAX XL VIVEX BIOLOGICS 1 SQ CM 16 1 16 16
    CAX040600S Q4170 Cygnus, per sq cm CYGNUS MAX XL VIVEX BIOLOGICS 1 SQ CM 24 1 24 24
    CAX040800S Q4170 Cygnus, per sq cm CYGNUS MAX XL VIVEX BIOLOGICS 1 SQ CM 32 1 32 32
    CUC020400 Q4170 Cygnus, per sq cm CYGNUS CRYO MAX VIVEX BIOLOGICS 1 SQ CM 8 1 8 8
    The ASP crosswalks are maintained by the Division of Data Analysis and Market Based Pricing to support ASP-based Medicare Part B payments only. The crosswalks are intended to help the public (including entities that submit manufacturer ASP data and providers who bill for drugs) understand which drug products (identified by NDCs) are assigned to which HCPCS billing codes. The crosswalks are not intended to be a comprehensive list of all drugs/NDCs available in the United States. The NDC to HCPCS Crosswalk also includes information on the NDC package size and the number of billable units (as defined by the HCPCS code descriptor). Comments on the file may be sent to [email protected].

    HCPCS Billing Calculator

    Dosage given to patient (per dose)
    HCPCS Dosage 1 SQ CM
    HCPCS/CPT Billing Units 1
    Total doses ordered
    Billing Units 1