Q0513 HCPCS Level II code: Pharmacy dispensing fee for inhalation drug(s); per 30 days
Q0513 is the HCPCS code for “Pharmacy dispensing fee for inhalation drug(s); per 30 days” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
Q0513Pharmacy dispensing fee for inhalation drug(s); per 30 days
Short description: Disp fee inhal drugs/30 days
HCPCS · United States
Notes for Q0513
As CMS prints them, with any note Q0513 takes from the headings above it.
Note
- CMS processing note 0129: MMA section 303(e).
Medicare details
The indicators CMS publishes with Q0513 in its October 2026 file. They describe Medicare’s handling, not another payer’s.
- Medicare coverage
- Special coverage instructions apply
- Medicare pricing
- DMEPOS fee schedule – Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)
- Type of service
- Other medical items or services
- BETOS category
- Other drugs
- Added
- Jan 1, 2006
Where Q0513 sits
- 1Q codesTemporary codes
- 2Active code Q0513Pharmacy dispensing fee for inhalation drug(s); per 30 days
Source and release
- Data release
- HCPCS Level II · October 2026
- Effective date
- Oct 1, 2026
- Publisher
- CMS
This page is built from the HCPCS Level II catalog that Vero Codes reads when it suggests codes: Centers for Medicare & Medicaid Services’s October 2026 release, imported from the publisher’s file and checked against it. The description, notes and structured data come from the same record.
Frequently asked questions
What does HCPCS code Q0513 mean?
Q0513 is the HCPCS code for “Pharmacy dispensing fee for inhalation drug(s); per 30 days” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover Q0513?
CMS lists Q0513’s Medicare coverage as “Special coverage instructions apply” and its pricing as “DMEPOS fee schedule – Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)”. Coverage and payment still depend on the patient, the setting, the documentation and the payer.
Which HCPCS Level II release does this page use?
It uses CMS’s October 2026 release, in effect from Oct 1, 2026 to Dec 31, 2026. It is a reference: confirm the code against the current list and the payer’s rules before you submit it.
Codes beside Q0513
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