HCPCS code Q5119 — Inj ruxience, 10 mg.
Status: Active.
Effective Jul 1, 2020.
Source: CMS HCPCS Level II.
Q5119
ActiveInj ruxience, 10 mg
Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg
Category:
Temporary
Section:
Q-codes: Temporary Codes
Effective:
Jul 1, 2020
Code type:
alphanumeric
OPPS Status:
K
— Non-pass-through drugs and biologicals
OPPS APC:
9367
MUE — Medically Unlikely Edits
Maximum units of Q5119 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 | 150 |
| Practitioner Services | 150 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NDC Crosswalk
National Drug Codes (NDCs) mapped to this HCPCS code.
| NDC | Drug Name |
|---|---|
| 00069-0238-01 | Ruxience |
| 00069-0249-01 | Ruxience |
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-Q3Inj ruxience, 10 mg