Table of content for "Injection, ixifi, 10 mg" (HCPCS Q5109)
General information on the “Q5109” code
HCPCS Code: Q5109
Long Description: Injection, infliximab-qbtx, biosimilar, (ixifi), 10 mg
Short Description: Injection, ixifi, 10 mg
Original information is taken from Q5109 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
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: 20190101
Code Effective Date: 20190101
Action Code: N – No maintenance for this code