Sculptra Injection: HCPCS Code Q2028 Requires Invoice

When submitting claims for Sculptra injections, the invoice must be submitted for payment/pricing consideration.

HCPCS Code: Q2028

Documentation Requirements:

  • For electronic claims, submit the invoice via eServices or PWK
  • For paper claims, submit the invoice as an attachment to the claim

If an invoice is not submitted, HCPCS code Q2028 will be rejected and must be resubmitted as a new claim with the invoice.

For medical necessity requirements, refer to National Coverage Determination 250.5 - Dermal Injections for the Treatment of Facial Lipodystrophy Syndrome (LDS).

Last Updated: 12/13/2018