HCPCS code Q5123 — Inj. riabni, 10 mg. Status: Active. Effective Jul 1, 2021. Source: CMS HCPCS Level II.

Q5123

Active

Inj. riabni, 10 mg

Injection, rituximab-arrx, biosimilar, (riabni), 10 mg

Category: Temporary
Section: Q-codes: Temporary Codes
Effective: Jul 1, 2021
Code type: alphanumeric
OPPS Status: K — Non-pass-through drugs and biologicals
OPPS APC: 9411

MUE — Medically Unlikely Edits

Maximum units of Q5123 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
55513-0224-01 Riabni
55513-0326-01 Riabni

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 2021-Q3
    Inj. riabni, 10 mg