HCPCS code Q9998 — Inj ustekinumab-aekn, 1 mg.
Status: Active.
Effective Jul 1, 2025.
Source: CMS HCPCS Level II.
Q9998
ActiveInj ustekinumab-aekn, 1 mg
Injection, ustekinumab-aekn (selarsdi), biosimilar, 1 mg
Category:
Temporary
Section:
Q-codes: Temporary Codes
Effective:
Jul 1, 2025
Code type:
alphanumeric
OPPS Status:
G
— Pass-through drugs and biologicals
OPPS APC:
0859
MUE — Medically Unlikely Edits
Maximum units of Q9998 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 | 520 |
| Outpatient Hospital | 520 |
| Practitioner Services | 520 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NDC Crosswalk
National Drug Codes (NDCs) mapped to this HCPCS code.
| NDC | Drug Name |
|---|---|
| 51759-0505-32 | Selarsdi |
| 51759-0607-32 | Selarsdi |
| 51759-0708-13 | Selarsdi |
| 51759-0709-32 | Ustekinumab-AEKN |
| 51759-0710-32 | Ustekinumab-AEKN |
Change History
Quarterly changes published by CMS. Revisions may affect the code description, coverage, or rate — review each quarter's changes before submitting claims.