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HCPCS Details
HCPC | Q5113 |
Short Description | Inj herzuma 10 mg |
Long Description | Injection, trastuzumab-pkrb, biosimilar, (herzuma), 10 mg |
Pricing indicator | 51 |
Coverage code | C |
ASC payment group code | YY |
BETOS2 code | O1E |
Action code | N |
Type of service | 1 |
Effective date | 2023-10-01 |
Date Added | 2019-07-01 |
HCPCS/NDC Cross-Walk
NDC | HCPC | Description | Drug Name | Labeler Name | HCPCS Dosage | PKG Size | PKG QTY | Bill Units | Bill Units PKG |
---|---|---|---|---|---|---|---|---|---|
63459030343 | Q5113 | Inj herzuma 10 mg | Herzuma | CEPHALON INC. | 10 mg | 1 | 1 | 15 | 15 |
63459030547 | Q5113 | Inj herzuma 10 mg | Herzuma | CEPHALON INC. | 10mg | 1 | 1 | 42 | 42 |
HCPCS Billing Calculator
Dosage given to patient (per dose) | |
---|---|
HCPCS Dosage | 10mg |
HCPCS/CPT Billing Units | 0.1 |
Total doses ordered | |
Billing Units | 0.1 |