Table of content for "Inj herzuma 10 mg" (HCPCS Q5113)
General information on the “Q5113” code
HCPCS Code: Q5113
Long Description: Injection, trastuzumab-pkrb, biosimilar, (herzuma), 10 mg
Short Description: Inj herzuma 10 mg
Original information is taken from Q5113 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: 20231001
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: 20190701
Code Effective Date: 20231001
Action Code: N – No maintenance for this code