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Q1004 Ntiol category 4

Q Codes

Also known as: NDIOL category 4, premium IOL

National Diabetes Prevention Program (NDPP) intraocular lens category 4, intermediate premium intraocular lens with advanced optical properties.

In Plain Language

advanced eye lens; cataract lens option

Clinical Context

Used in cataract surgery for patients desiring intermediate premium optical properties. Balances cost and visual function for moderate vision demands.

RVU Information

CPT Q1004 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

OphthalmologyOptometry

Frequently Asked Questions

What is CPT code Q1004?

CPT Q1004 (Ntiol category 4) is a Q Codes code. National Diabetes Prevention Program (NDPP) intraocular lens category 4, intermediate premium intraocular lens with advanced optical properties.

Is Q1004 covered by insurance?

Q1004 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Used in cataract surgery for patients desiring intermediate premium optical properties. Balances cost and visual function for moderate vision demands.

When is CPT Q1004 used?

Used in cataract surgery for patients desiring intermediate premium optical properties. Balances cost and visual function for moderate vision demands.

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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.