HCPCS Q5108 Code. Injection, fulphila


Table of content for "Injection, fulphila" (HCPCS Q5108)

General information on the “Q5108” code

HCPCS Code: Q5108
Long Description: Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg
Short Description: Injection, fulphila

Original information is taken from Q5108 page

Pricing indicators

Pricing Indicator Code 1: 51 – Drugs
Multiple Pricing Indicator Code A : Not applicable as HCPCS priced under one methodology

Certification and additional reference information

Coverage

Coverage: C – Carrier judgment
ASC Payment Group: YY
ASC Payment Group Effective Date: 20181001

Type of service


Berenson-Eggers Type of Service (BETOS): O1E – Other drugs
Type Of Service 1: 1 – Medical care
Type Of Service 2: P – Lump sum purchase of DME, prosthetics, orthotics

Misc information

Anesthesia Base Unit Quantity: 0
Code Added Date: 20181001
Code Effective Date: 20230401
Action Code: N – No maintenance for this code