HCPCS code Q5105 — Inj retacrit esrd on dialysi. Status: Active. Effective Jan 1, 2020. Source: CMS HCPCS Level II.

Q5105

Active

Inj retacrit esrd on dialysi

Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units

Category: Temporary
Section: Q-codes: Temporary Codes
Effective: Jan 1, 2020
Code type: alphanumeric
OPPS Status: N — Items / services packaged into APC rates

MUE — Medically Unlikely Edits

Maximum units of Q5105 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.

Service Type Max Units / Day
Outpatient Hospital 400
Practitioner Services 100

Source: CMS Medicare NCCI Medically Unlikely Edits

NDC Crosswalk

National Drug Codes (NDCs) mapped to this HCPCS code.

NDC Drug Name
00069-1305-10 Retacrit
00069-1306-10 Retacrit
00069-1307-10 Retacrit
00069-1308-10 Retacrit
00069-1309-04 Retacrit
00069-1311-10 Retacrit
00069-1318-10 Retacrit
59353-0002-10 Retacrit
59353-0003-10 Retacrit
59353-0004-10 Retacrit
59353-0010-10 Retacrit
59353-0120-10 Retacrit
59353-0220-10 Retacrit

Change History

Quarterly changes published by CMS. Revisions may affect the code description, coverage, or rate — review each quarter's changes before submitting claims.

  • New Code 2020-Q1
    Inj retacrit esrd on dialysi