HCPCS Code Q4174

Palingen or promatrx, 0.36 mg per 0.25 cc
Short DescriptionPalingen or promatrx
Year2026
Coverage CodeC = Carrier judgment
Action CodeP = Payment change (MOG, pricing indicator codes, anesthesia base units, Ambulatory Surgical Centers)
Action Effective DateJanuary 01, 2026
Code Added DateJanuary 01, 2017
Pricing Indicator13 = Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)
Type of Service1 = Medical care