Q0224 Injection, pemivibart, 4500 milligrams
Also known as: Synagis, palivizumab, RSV prophylaxis
Pemivibart injection 4500 milligram formulation, a monoclonal antibody used for respiratory syncytial virus prophylaxis in high-risk patients.
In Plain Language
RSV prevention injection; lung infection protection
Clinical Context
Used for passive immunoprophylaxis against respiratory syncytial virus in high-risk infants including premature infants and those with congenital heart disease. Given monthly during RSV season.
RVU Information
CPT Q0224 does not have a physician work RVU assigned by CMS. Reimbursement for this code is determined by payer-specific fee schedules.
Billing & Documentation
Q-codes are temporary HCPCS codes used when no permanent code exists. Coverage and reimbursement vary by payer and region. Document the clinical indication and medical necessity. These codes may be replaced by permanent codes in future HCPCS updates.
Specialties
Frequently Asked Questions
What is CPT code Q0224?
CPT Q0224 (Injection, pemivibart, 4500 milligrams) is a Q Codes code. Pemivibart injection 4500 milligram formulation, a monoclonal antibody used for respiratory syncytial virus prophylaxis in high-risk patients.
Is Q0224 covered by insurance?
Q0224 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Used for passive immunoprophylaxis against respiratory syncytial virus in high-risk infants including premature infants and those with congenital heart disease. Given monthly during RSV season.
When is CPT Q0224 used?
Used for passive immunoprophylaxis against respiratory syncytial virus in high-risk infants including premature infants and those with congenital heart disease. Given monthly during RSV season.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.