HCPCS code Q5137 — Inj, wezlana, sub cu, 1 mg. Status: Active. Effective Jul 1, 2024. Source: CMS HCPCS Level II.

Q5137

Active

Inj, wezlana, sub cu, 1 mg

Injection, ustekinumab-auub (wezlana), biosimilar, subcutaneous, 1 mg

Category: Temporary
Section: Q-codes: Temporary Codes
Effective: Jul 1, 2024
Code type: alphanumeric
OPPS Status: E1 — Items / services not paid by Medicare

MUE — Medically Unlikely Edits

Maximum units of Q5137 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 90
Practitioner Services 90

Source: CMS Medicare NCCI Medically Unlikely Edits

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 2024-Q3
    Inj, wezlana, sub cu, 1 mg