HCPCS code Q9996 — Ustekinumab- ttwe sub cu inj. Status: Active. Effective Jan 1, 2025. Source: CMS HCPCS Level II.

Q9996

Active

Ustekinumab- ttwe sub cu inj

Injection, ustekinumab-ttwe (pyzchiva), subcutaneous, 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 Q9996 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 90
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 2025-Q1
    Ustekinumab- ttwe sub cu inj