hcpcs data

Q2056

Ciltacabtagene autoleucel, up to 100 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose

Medicare: Carrier judgmentQ seriesAdded October 01, 2022

What Q2056 means

Q2056 (Ciltacabtagene car-pos t) belongs to the HCPCS Level II Q series (Temporary Codes). Its Medicare coverage status is Carrier judgment. Medicare coverage is left to the judgment of the local Medicare Administrative Contractor (MAC), so check your MAC's local coverage determinations.

Part B pricing: Drugs.

Code details

Short description
Ciltacabtagene car-pos t
Coverage code
C = Carrier judgment
Pricing indicator
51 = Drugs
Multiple pricing indicator
A = Not applicable as HCPCS priced under one methodology
Type of service
1 = Medical care P = Lump sum purchase of DME, prosthetics, orthotics
Action code
N = No maintenance for this code
Action effective date
October 01, 2022
Code added date
October 01, 2022
Data year
2026

Questions about Q2056

What is HCPCS code Q2056?

HCPCS code Q2056 is a Level II code in the Q series (Temporary Codes). Its full description is: "Ciltacabtagene autoleucel, up to 100 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose"

Is Q2056 a CPT code?

No. Q2056 is a HCPCS Level II code maintained by CMS, not a CPT (Level I) code from the American Medical Association. People often search for it as a CPT code because both code sets are reported on the same claims.

Does Medicare cover HCPCS code Q2056?

The Medicare coverage code for Q2056 is "Carrier judgment". Medicare coverage is left to the judgment of the local Medicare Administrative Contractor (MAC), so check your MAC's local coverage determinations.

When was HCPCS code Q2056 added?

Q2056 was added to the HCPCS code set on October 01, 2022. The most recent action on it (No maintenance for this code) took effect on October 01, 2022.

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