HCPCS code Q5110 — Nivestym.
Status: Active.
Effective Oct 1, 2018.
Source: CMS HCPCS Level II.
Q5110
ActiveNivestym
Injection, filgrastim-aafi, biosimilar, (nivestym), 1 microgram
Category:
Temporary
Section:
Q-codes: Temporary Codes
Effective:
Oct 1, 2018
Code type:
alphanumeric
OPPS Status:
K
— Non-pass-through drugs and biologicals
OPPS APC:
9193
MUE — Medically Unlikely Edits
Maximum units of Q5110 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 | 1500 |
| Practitioner Services | 1500 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NDC Crosswalk
National Drug Codes (NDCs) mapped to this HCPCS code.
| NDC | Drug Name |
|---|---|
| 00069-0291-01 | Nivestym |
| 00069-0291-10 | Nivestym |
| 00069-0292-01 | Nivestym |
| 00069-0292-10 | Nivestym |
| 00069-0293-10 | Nivestym |
| 00069-0294-10 | Nivestym |