HCPCS Code Q0235

Injection, monoclonal antibody products with an indication for post-exposure prophylaxis or treatment of covid-19, for hospitalized adults and/or pediatric patients who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, not otherwise classified, 1 mg
Short DescriptionInj, monoclon antibody, 1 mg
Year2026
Coverage CodeC = Carrier judgment
Action CodeA = Add procedure or modifier code
Action Effective DateOctober 01, 2025
Code Added DateOctober 01, 2025
Pricing Indicator54 = Vaccinations
Type of ServiceV = Pneumococcal/flu vaccine (eff 01/96), Pneumococcal/flu/hepatitis B vaccine (eff 04/95 - 12/95), Pneumococcal only before 04/95