Q1005 Ntiol category 5

What Q1005 is

New technology intraocular lens category 5 as defined in federal register notice

HCPCS Level II long description, CMS October 2026 file. See the Q codes page for the full section.

Medicare payment for Q1005 (CY2026)

This code has no Physician Fee Schedule rate: Statutory exclusion - not payable under the Physician Fee Schedule. It may be paid under a different fee schedule (clinical laboratory, DMEPOS, anesthesia) or not paid at all - check the relevant CMS schedule.

Medically Unlikely Edit (MUE)

Medicare caps Q1005 at 2 units per date of service for practitioner claims (MAI 2 - date of service edit (absolute): units above the MUE never pay), rationale: Anatomic Consideration. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.

Q1005 is bundled into these codes

Q1005 appears as a Column 2 code in 1 active edits. Reported with one of these Column 1 codes on the same date of service, Q1005 is the code that denies.

Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.