Search by Drug Name, NDC or Jcode
Internal Navigation
HCPCS Details
HCPC | Q4258 |
Short Description | Enverse, per sq cm |
Long Description | Enverse, 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 | 2022-04-01 |
Date Added | 2022-04-01 |
HCPCS/NDC Cross-Walk
NDC | HCPC | Description | Drug Name | Labeler Name | HCPCS Dosage | PKG Size | PKG QTY | Bill Units | Bill Units PKG |
---|---|---|---|---|---|---|---|---|---|
85003992725 | Q4258 | Enverse, per sq cm | ENVERSE | STIMLABS LLC | 1 SQ CM | 16 | 1 | 16 | 16 |
85003992726 | Q4258 | Enverse, per sq cm | ENVERSE | STIMLABS LLC | 1 SQ CM | 24 | 1 | 24 | 24 |
85003992727 | Q4258 | Enverse, per sq cm | ENVERSE | STIMLABS LLC | 1 SQ CM | 48 | 1 | 48 | 48 |
85003992728 | Q4258 | Enverse, per sq cm | ENVERSE | STIMLABS | 1 SQ CM | 135 | 1 | 135 | 135 |
85003992729 | Q4258 | Enverse, per sq cm | ENVERSE | STIMLABS LLC | 1 SQ CM | 1.78 | 1 | 1.78 | 1.78 |
86047100258 | Q4258 | Enverse, per sq cm | ENVERSE | STIMLABS LLC | 1 SQ CM | 6 | 1 | 6 | 6 |
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 |