Table of content for "Inj, idacio, 20 mg" (HCPCS Q5131)
General information on the “Q5131” code
HCPCS Code: Q5131
Long Description: Injection, adalimumab-aacf (idacio), biosimilar, 20 mg
Short Description: Inj, idacio, 20 mg
Original information is taken from Q5131 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
Type of service
Berenson-Eggers Type of Service (BETOS): O1E – Other drugs
Type Of Service 1: 1 – Medical care
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 20230701
Code Effective Date: 20250101
Termination Date: 20241231
Action Code: D – Discontinue procedure or modifier code