HCPCS code Q5114 — Inj ogivri 10 mg.
Status: Active.
Effective Jul 1, 2019.
Source: CMS HCPCS Level II.
Q5114
ActiveInj ogivri 10 mg
Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg
Category:
Temporary
Section:
Q-codes: Temporary Codes
Effective:
Jul 1, 2019
Code type:
alphanumeric
OPPS Status:
K
— Non-pass-through drugs and biologicals
OPPS APC:
9341
MUE — Medically Unlikely Edits
Maximum units of Q5114 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 | 120 |
| Practitioner Services | 120 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NDC Crosswalk
National Drug Codes (NDCs) mapped to this HCPCS code.
| NDC | Drug Name |
|---|---|
| 67457-0847-44 | Ogivri |
| 67457-0991-15 | Ogivri |
| 83257-0001-11 | Ogivri |
| 83257-0004-12 | Ogivri |