HCPCS code Q5140 — Inj adalimumab-fkjp, 1 mg. Status: Active. Effective Jan 1, 2025. Source: CMS HCPCS Level II.

Q5140

Active

Inj adalimumab-fkjp, 1 mg

Injection, adalimumab-fkjp, biosimilar, 1 mg

Category: Temporary
Section: Q-codes: Temporary Codes
Effective: Jan 1, 2025
Code type: alphanumeric
OPPS Status: E1 — Items / services not paid by Medicare

MUE — Medically Unlikely Edits

Maximum units of Q5140 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
DME Supplier 160
Outpatient Hospital 160
Practitioner Services 160

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 2025-Q1
    Inj adalimumab-fkjp, 1 mg