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HCPCS Q0092 · Level II · Q code

Q0092: Set-up portable x-ray equipment, HCPCS Level II Q code

Compiled from CMS files by the QuickIntell RCM Editorial Team · Data effective · Method: reference methodology · Report a data correction

Data currency: HCPCS Level II file: October 2026 (effective October 1, 2026); PFS relative value file: RVU26D, released August 26, 2026 (effective October 1, 2026); NCCI MUE tables: 2026 Q4 (effective October 1, 2026); NCCI PTP edits: v323r0 (2026 Q4) (effective October 1, 2026); OPPS Addendum B: October 2026 (effective October 1, 2026). Next CMS release: January 1, 2027 (quarterly update) for the HCPCS Level II file and NCCI MUE tables and NCCI PTP edits and OPPS Addendum B; RVU27A with the CY2027 PFS final rule, effective January 1, 2027 for the PFS relative value file.

Key facts for Q0092

Medicare payment
$25.72
PFS non-facility, national; facility $25.72
Coverage code
D
special coverage instructions apply
Practitioner MUE
4
MAI 3
OPPS status
SI N
Items and Services packaged into APC rates
NCCI PTP pairs
0
practitioner file
LCDs and articles
0 / 0

TL;DR

CMS describes HCPCS Q0092, added in 1993, as "Set-up portable x-ray equipment". National PFS payment for Q0092 is $25.72 in an office and $25.72 in a facility (October 2026), built from 0.00 work, 0.76 practice-expense and 0.01 malpractice RVUs at $33.4009 per RVU. Qualifying APM participants get $25.85 at $33.5675. CMS caps Q0092 at practitioner 4 (MAI 3, Nature of Service/Procedure); hospital outpatient 2 (MAI 3, Clinical: Data); DME supplier 0 (MAI 3, CMS Policy) units per day in the 2026 Q4 MUE tables. No current LCD or billing article lists Q0092; its HCPCS coverage code is D (special coverage instructions apply). OPPS status indicator N: Items and Services packaged into APC rates. HCPCS record: BETOS I1F (standard imaging - other); pricing indicator 11; type of service 4 (diagnostic radiology). Nearby codes: Q0091, Q0111, Q0112, Q0163.

Q0092 descriptor and code status

The October 2026 HCPCS Level II file describes Q0092 as “Set-up portable x-ray equipment”. It sits in the Q section (temporary codes), listed with the other Q codes for services and supplies (non-drug). Although searches often call it the "Q0092 CPT code", Q0092 is a HCPCS Level II code maintained by CMS, not an AMA CPT code; both go in the same procedure-code field on the claim.

HCPCS file attributes of Q0092
FieldValue
Short descriptorSet up port xray equipment
Added to HCPCS1993-01-01
Last actionN (no maintenance), effective 1996-01-01
Coverage codeD: special coverage instructions apply
Pricing indicator11: physician fee schedule, priced with national RVUs
BETOS categoryI1F: standard imaging - other
Type of service4: diagnostic radiology

Medicare payment for Q0092

National PFS payment for Q0092 is $25.72 in an office and $25.72 in a facility (October 2026), built from 0.00 work, 0.76 practice-expense and 0.01 malpractice RVUs at $33.4009 per RVU. Qualifying APM participants get $25.85 at $33.5675. The amounts below are national figures from the October 2026 CMS files; the contractor applies the locality, rural or state adjustment and the beneficiary's cost sharing.

Physician fee schedule (RVU26D)

Status A: active: paid separately under the physician fee schedule when covered. Global period XXX (global surgery concept does not apply); PC/TC indicator 3 (technical component only).

PFS relative values and national payment for Q0092
ComponentNon-facilityFacility
Work RVU0.000.00
Practice expense RVU0.760.76
Malpractice RVU0.010.01
Total RVUs0.770.77
National payment (CF $33.4009)$25.72$25.72
Qualifying APM participant (CF $33.5675)$25.85$25.85
  • Multiple procedures (modifier 51): no multiple-procedure reduction
  • Bilateral (modifier 50): 150% bilateral adjustment does not apply
  • Assistant at surgery: assistant at surgery paid only with documentation; co-surgeons: co-surgeons not permitted; team surgery: team surgeons not permitted
  • Physician supervision of diagnostic procedures: supervision concept does not apply

Hospital outpatient (OPPS Addendum B)

Status indicator N (Items and Services packaged into APC rates), with no separate OPPS payment rate.

Ambulatory surgical center (Addendum BB)

Payment indicator N1 (Packaged service/item; no separate payment made).

Medically Unlikely Edits for Q0092

CMS caps Q0092 at practitioner 4 (MAI 3, Nature of Service/Procedure); hospital outpatient 2 (MAI 3, Clinical: Data); DME supplier 0 (MAI 3, CMS Policy) units per day in the 2026 Q4 MUE tables. The practitioner MUE is a date-of-service clinical edit: units above the limit deny but can be paid on appeal with documentation.

MUE values for Q0092 by setting
SettingMUE (units/DOS)MAICMS rationale
Practitioner services43 Date of Service Edit: ClinicalNature of Service/Procedure
Facility outpatient hospital23 Date of Service Edit: ClinicalClinical: Data
DME supplier03 Date of Service Edit: ClinicalCMS Policy

The MUE lookup for Q0092 shows every setting next to any other code on the same claim.

NCCI edits and add-on rules

No active practitioner PTP pair lists Q0092 in v323r0.

Q0092 is neither an add-on code nor a designated primary code in the 2026 Q4 NCCI add-on edit file.

Pair counts show exposure, not the answer for one claim. Check Q0092 against a second code to see whether the pair bundles and whether a modifier can separate the services.

Medicare coverage policies for Q0092

No current LCD or billing and coding article lists Q0092. The HCPCS coverage code D means special coverage instructions apply, and any National Coverage Determination for the service still applies.

Denials to expect on Q0092

CARC 50 · N115

the service is not reasonable and necessary for the diagnosis on the claim

CARC 151 · N362

units of Q0092 exceed the practitioner MUE of 4 per date of service

CARC 4

the modifier reported is inconsistent with the code

CARC 16

the claim lacks information needed to adjudicate the line, such as an order, NPI or required modifier

Where QuickIntell fits for Q0092 claims

QuickCode supports qualified coder review of units, modifiers and NCCI pairs for Q0092 before the claim leaves, and QuickRCM carries claim readiness and the denial follow-up when an edit or coverage policy is missed.

See QuickCode for coder reviewSee QuickRCM for denial follow-upBook a meeting

Frequently asked questions: HCPCS Q0092

What does HCPCS code Q0092 describe?

"Set-up portable x-ray equipment" (short descriptor "Set up port xray equipment"), in the Q section (temporary codes). Added 1993-01-01; last action N (no maintenance) effective 1996-01-01.

Is Q0092 a CPT code?

It is not. Q0092 belongs to the Q section (temporary codes) of HCPCS Level II, the CMS code set, not to AMA CPT. "Q0092 CPT code" searches refer to it.

What does Medicare pay for Q0092?

National PFS payment for Q0092 is $25.72 in an office and $25.72 in a facility (October 2026), built from 0.00 work, 0.76 practice-expense and 0.01 malpractice RVUs at $33.4009 per RVU. Qualifying APM participants get $25.85 at $33.5675.

How many units of Q0092 can be billed per day?

CMS caps Q0092 at practitioner 4 (MAI 3, Nature of Service/Procedure); hospital outpatient 2 (MAI 3, Clinical: Data); DME supplier 0 (MAI 3, CMS Policy) units per day in the 2026 Q4 MUE tables. For the practitioner MUE (MAI 3), units above 4 deny for the day but can be paid on appeal with documentation; denials arrive as CARC 151.

Does Medicare cover Q0092?

No current LCD or billing article lists Q0092; its HCPCS coverage code is D (special coverage instructions apply).

Sources

Every figure on this page is taken from the CMS publications below, as released by the Centers for Medicare & Medicaid Services. Projection built 2026-10-10. Verify against the primary file before billing or contracting decisions. The reference methodology explains how each figure is computed from these files.

Disclaimer

This page is an operational reference compiled from CMS publications: the HCPCS Level II file, the physician, DMEPOS and clinical laboratory fee schedules, OPPS and ASC addenda, NCCI MUE, PTP and add-on edit tables and the Medicare Coverage Database. Amounts are Medicare national figures before locality and state adjustment; Medicaid and commercial payers set their own. CPT codes are shown as numbers only; CPT descriptors are copyright AMA. Nothing here is legal, clinical or billing advice.

Found a figure that does not match the CMS file? Report a data correction with the CMS file and the value you expected; the request reaches the editorial team through the contact form.