HCPCS code Q5146 — Inj, hercessi, 10 mg. Status: Active. Effective Jan 1, 2025. Source: CMS HCPCS Level II.

Q5146

Active

Inj, hercessi, 10 mg

Injection, trastuzumab-strf (hercessi), biosimilar, 10 mg

Category: Temporary
Section: Q-codes: Temporary Codes
Effective: Jan 1, 2025
Code type: alphanumeric
OPPS Status: K — Non-pass-through drugs and biologicals
OPPS APC: 0865

MUE — Medically Unlikely Edits

Maximum units of Q5146 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 120
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
69448-0015-05 Hercessi
69448-0016-11 Hercessi

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, hercessi, 10 mg