HCPCS Code Details - Q5108

HCPCS Level II Code
Miscellaneous Services (Temporary Codes)
HCPCS Code Q5108
Description

Long description:
Injection, pegfilgrastim-jmdb, biosimilar, (fulphila), 0.5 mg

Short description:
Injection, fulphila

HCPCS Modifier1
HCPCS Pricing indicator 53 - Statute
Multiple pricing indicator
Coverage code C - Carrier judgment
BETOS2 code O1E - Other drugs
HCPCS Action code A - Add procedure or modifier code
Type of service 1 - Medical care
Effective date Effective Oct 01, 2018
Date added Added Oct 01, 2018
HCPCS Coding Procedures

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 - Q5108

Effective Code Dosage Payment
Limit
Vaccine AWP % Vaccine Limit Infusion AWP % DME infusion limit Blood AWP % Blood limit Clotting factor Note
October 1, 2018 - December 31, 2018 0.5 MG 368.791666666667 - - - - - -

See also

  • HCPCS Q5106 · Injection, epoetin alfa, biosimilar, (Retacrit) (for non-esrd use), 1000 units

  • HCPCS Q9950 · Injection, sulfur hexafluoride lipid microspheres, per ml


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”