HCPCS Q5104 Code. Injection, renflexis


Table of content for "Injection, renflexis" (HCPCS Q5104)

General information on the “Q5104” code

HCPCS Code: Q5104
Long Description: Injection, infliximab-abda, biosimilar, (renflexis), 10 mg
Short Description: Injection, renflexis

Original information is taken from Q5104 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: D – Special coverage instructions apply
ASC Payment Group: YY
ASC Payment Group Effective Date: 20180401

Type of service

Processing Note Number: 0187
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: 20180401
Code Effective Date: 20180401
Action Code: N – No maintenance for this code