Temporary codes (drugs, biologicals, devices)

Q0220 — Injection, tixagevimab and cilgavimab, for the pre-exposure prophylaxis only, for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) with no known sars-cov-2 exposure, who either have moderate to severely compromised immune systems or for whom vaccination with any available covid-19 vaccine is not recommended due to a history of severe adverse reaction to a covid-19 vaccine(s) and/or covid-19 vaccine component(s), 300 mg

HCPCS code Q0220 is used on U.S. medical bills for temporary codes (drugs, biologicals, devices): Injection, tixagevimab and cilgavimab, for the pre-exposure prophylaxis only, for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) with no known sars-cov-2 exposure, who either have moderate to severely compromised immune systems or for whom vaccination with any available covid-19 vaccine is not recommended due to a history of severe adverse reaction to a covid-19 vaccine(s) and/or covid-19 vaccine component(s), 300 mg.

  • Typical setting: Varies
  • National avg charge (illustrative): Temporary pricing — confirm with current payer policy.
  • Most-disputed reason: Use of Q-code after permanent code was published

What it means

What Q0220 actually means

Injection, tixagevimab and cilgavimab, for the pre-exposure prophylaxis only, for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) with no known sars-cov-2 exposure, who either have moderate to severely compromised immune systems or for whom vaccination with any available covid-19 vaccine is not recommended due to a history of severe adverse reaction to a covid-19 vaccine(s) and/or covid-19 vaccine component(s), 300 mg.

The official CMS HCPCS Level II descriptor for this code is shown above. If the description on your bill does not match the service you actually received, that is a reason to ask for the itemized bill and dispute the line.

Common errors with this code

What goes wrong on real bills.

Use these as review prompts, not conclusions. The right next step is to compare the bill, itemized charges, and EOB before paying.

If you see Q0220 on your bill

Three steps before paying.

1. Get the itemized bill. If your statement only shows a summary, request the CPT-level itemized bill before paying. Generate the request language →

2. Cross-check against the EOB. Compare what your insurer's Explanation of Benefits says you owe versus what the hospital is asking. They disagree more often than people think. Read the bill-vs-EOB guide →

3. Run a free Bill Scan. Upload the bill (and EOB if you have it) and BillBusted will flag the most likely issues with this specific code in your specific state. Run free scan →

Related codes

Other codes in this category.

People who land on Q0220 often also see these adjacent codes on the same bill.

Related BillBusted guides

Plain-English reads if you see Q0220 on a bill.

Q0220 FAQ

Plain-English answers.

What is Q0220 used for on a medical bill?

HCPCS code Q0220 is used on medical bills for temporary codes (drugs, biologicals, devices): Injection, tixagevimab and cilgavimab, for the pre-exposure prophylaxis only, for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) with no known sars-cov-2 exposure, who either have moderate to severely compromised immune systems or for whom vaccination with any available covid-19 vaccine is not recommended due to a history of severe adverse reaction to a covid-19 vaccine(s) and/or covid-19 vaccine component(s), 300 mg. Billing mistakes can happen, and codes in this category most often get flagged for use of q-code after permanent code was published. If you see Q0220 on your bill, request the itemized statement and compare the units, date of service, and description to your Explanation of Benefits before paying.

How much should Q0220 cost?

How much Q0220 should cost depends on your payer and region. Billing mistakes can happen, and pricing for this HCPCS code is set by Medicare fee schedules for Medicare claims and by negotiated allowed amounts for commercial plans. Check the Medicare fee-schedule lookup tool, your insurer's member portal, or run a free BillBusted scan to compare your charge against typical allowed amounts.

Can I dispute a Q0220 charge on my medical bill?

Yes, you can dispute a Q0220 charge on your medical bill if the units, modifier, date of service, or coverage doesn't match the medical record or your insurance benefits. Request the itemized bill, compare to your EOB, and use BillBusted's Resolution Pack to draft the dispute letter if needed.

Don't pay Q0220 blindly.

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