HCPCS Code Details - Q5102

HCPCS Level II Code
Miscellaneous Services (Temporary Codes)
HCPCS Code Q5102
Description

Long description:
Injection, infliximab, biosimilar, 10 mg

Short description:
Inj., infliximab biosimilar

HCPCS Modifier1
HCPCS Pricing indicator 51 - Drugs
Multiple pricing indicator A - Not applicable as HCPCS priced under one methodology
Coverage code D - Special coverage instructions apply
ASC payment group code Effective Jan 01, 2018 - This procedure is approved to be performed in an ambulatory surgical center.
BETOS2 code O1E - Other drugs
HCPCS Action code D - Discontinue procedure or modifier code
Type of service 1 - Medical care
Effective date Effective Jan 01, 2018
Date added Added Jul 01, 2016
Termination date Apr 01, 2018
HCPCS Coding Procedures
  HCPCS Code Q5102 has been discontinued effective Jan 01, 2018.

HCPCS Modifiers

In HCPCS Level II, modifiers are composed of two alpha or alphanumeric characters.

Example: E0260-NU - Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress
NU” identifies the hospital bed as new equipment

ASP Drug pricing - Q5102

Effective Code Dosage Payment
Limit
Vaccine AWP % Vaccine Limit Infusion AWP % DME infusion limit Blood AWP % Blood limit Clotting factor Note
January 1, 2018 - March 31, 2018 10 MG 75.518 - - - - - -
October 1, 2017 - December 31, 2017 10 MG 78.724442 - - - - - -
10 MG 80.191602 - - - - - -
10 MG 100.30568 - - - - - -
10 MG 100.306 - - - - - -

See also

  • HCPCS Q5101 · Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram

  • HCPCS Q5103 · Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg


1 Two-digit numeric codes are Level I code modifiers copyrighted© by the American Medical Association's Current Procedural Terminology (CPT).

2 BETOS stands for “Berenson-Eggers Type Of Service”