Q0249 Tocilizumab for covid-19
Also known as: Actemra COVID, tocilizumab for COVID, IL-6 antagonist
Tocilizumab for Coronavirus Disease 2019 (COVID-19) infection, an interleukin-6 receptor antagonist used to reduce severe inflammation in hospitalized COVID-19 patients.
In Plain Language
COVID-19 inflammation treatment; serious infection medication
Clinical Context
Used for hospitalized patients with COVID-19 pneumonia requiring supplemental oxygen or mechanical ventilation. Reduces mortality and need for mechanical ventilation in moderate to severe disease.
RVU Information
CPT Q0249 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 Q0249?
CPT Q0249 (Tocilizumab for covid-19) is a Q Codes code. Tocilizumab for Coronavirus Disease 2019 (COVID-19) infection, an interleukin-6 receptor antagonist used to reduce severe inflammation in hospitalized COVID-19 patients.
Is Q0249 covered by insurance?
Q0249 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Used for hospitalized patients with COVID-19 pneumonia requiring supplemental oxygen or mechanical ventilation. Reduces mortality and need for mechanical ventilation in moderate to severe disease.
When is CPT Q0249 used?
Used for hospitalized patients with COVID-19 pneumonia requiring supplemental oxygen or mechanical ventilation. Reduces mortality and need for mechanical ventilation in moderate to severe disease.
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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.