HCPCS Code Details - Q5131

HCPCS Level II Code
Miscellaneous Services (Temporary Codes)
HCPCS Code Q5131
Description

Long description:
Injection, adalimumab-aacf (idacio), biosimilar, 20 mg

Short description:
Inj, idacio, 20 mg

HCPCS Modifier1
HCPCS Pricing indicator 51 - Drugs
Multiple pricing indicator A - Not applicable as HCPCS priced under one methodology
Coverage code C - Carrier judgment
BETOS2 code O1E - Other drugs
HCPCS Action code N - No maintenance for this code
Type of service 1 - Medical care
Effective date Effective Jul 01, 2023
Date added Added Jul 01, 2023
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

See also

  • HCPCS Q5130 · Injection, pegfilgrastim-pbbk (fylnetra), biosimilar, 0.5 mg

  • HCPCS Q5132 · Injection, adalimumab-afzb (abrilada), biosimilar, 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”