HCPCS code Q5116 — Inj., trazimera, 10 mg.
Status: Active.
Effective Oct 1, 2019.
Source: CMS HCPCS Level II.
Q5116
ActiveInj., trazimera, 10 mg
Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg
Category:
Temporary
Section:
Q-codes: Temporary Codes
Effective:
Oct 1, 2019
Code type:
alphanumeric
OPPS Status:
K
— Non-pass-through drugs and biologicals
OPPS APC:
9350
MUE — Medically Unlikely Edits
Maximum units of Q5116 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 |
|---|---|
| 00069-0305-01 | Trazimera |
| 00069-0308-01 | Trazimera |