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Q5148

Q5148 – Inj, nyposi 1 mcg · NDC Crosswalk & Billing Units

HCPCS Level II Q-code · Medicare Part B drug billing
Q-code ● 8 NDCs crosswalked per 1 MCG $1.034/unit ASP+6%

This page is curated, coded, and maintained by

Compiled from public FDA, CMS, DailyMed, NADAC, and related drug data sources. Editorial policy

📋 Q5148 summary

Q5148 is a HCPCS Level II Q-code used to bill nyposi 1 mcg, billed per 1 MCG. The number of billing units to report depends on the dose administered and the NDC/package billed — use the calculator below.

Brand names associated with Q5148: Nypozi, Nypozi Txid

Code Q5148 Billing unit 1 MCG Payment limit $1.034/unit NDC-Crosswalk 8 Quarter Q3 2026 RxCUI Atlas Trace the drug concept →

⚠ An NDC↔HCPCS crosswalk and a published payment limit do not guarantee payer coverage or payment. Always verify the current payer policy and claim format before billing.

🗂️ Key billing facts

HCPCS codeQ5148
DescriptorInj, nyposi 1 mcg
Billing unit1 MCG
Payment limit / unit$1.034
Est. ASP / unit$0.975 est.
Mapped NDCs8
Data periodQ3 2026
Last updated2026-08-20

🧾 Billing & reimbursement HCPCS · CMS · EFF. Q3 2026

📅 Payment limits effective Q3 2026 — from the CMS Medicare Part B Payment Limit File (revised quarterly).
Medicare payment limit / unit
$1.034
Est. ASP / unit
$0.975 est.
Est. after 2% sequester
$1.013
HCPCS dosage
1 MCG
The CMS payment limit is the Medicare Part B drug allowance (ASP + 6%, statutory). After the 2% federal sequester the effective payment is ≈ ASP + 4.3%; estimated ASP = payment limit ÷ 1.06. Source: CMS Medicare Part B Payment Limit File (quarterly), Q3 2026.

🧮 Dosing & billing-units calculator HCPCS UNITS

One billing unit of Q5148 = 1 mcg. Enter a regimen to convert dose → billing units and project a full course.
Billing units = dose ÷ HCPCS unit size. Most payers require whole units — round per the payer's policy. “Est. Medicare pay” uses the current payment limit. For single-dose vials, drug discarded after administration may be separately billable with modifier JW (JZ when none is discarded) where allowed. Always verify payer-specific rounding before billing.

🔁 NDCs that bill under Q5148 WITH EST. MEDICARE PAY

8 NDCs map to Q5148. Bill units = how many HCPCS units one package represents. Est. pay / pkg = payment limit ($1.034/unit) × that package's bill units.
NDC (11-digit)DrugLabelerPackageStrength Bill units Est. pay / pkg NADAC / unit StatusSource
69097-0429-67 NYPOZI filgrastim-txid 480 ug/480ug INJECTION Cipla 1 SYRINGE, GLASS in 1 CARTON (69097-429-67... 480 ug/480ug 480 $496.32 — ● Active CMS + PDAC
69097-0429-96 NYPOZI filgrastim-txid 480 ug/480ug INJECTION Cipla 10 SYRINGE, GLASS in 1 CARTON (69097-429-9... 480 ug/480ug 4,800 $4,963.20 — ● Active CMS + PDAC
69097-0430-67 NYPOZI filgrastim-txid 300 ug/300ug INJECTION Cipla 1 SYRINGE, GLASS in 1 CARTON (69097-430-67... 300 ug/300ug 300 $310.20 — ● Active CMS + PDAC
69097-0430-96 NYPOZI filgrastim-txid 300 ug/300ug INJECTION Cipla 10 SYRINGE, GLASS in 1 CARTON (69097-430-9... 300 ug/300ug 3,000 $3,102.00 — ● Active CMS + PDAC
72374-0101-01 NYPOZI txid filgrastim-txid 300 ug/300ug INJECTION Tanvex 1 SYRINGE, GLASS in 1 CARTON (72374-101-01... 300 ug/300ug 300 $310.20 — ● Active CMS + PDAC
72374-0101-10 NYPOZI txid filgrastim-txid 300 ug/300ug INJECTION Tanvex 10 SYRINGE, GLASS in 1 CARTON (72374-101-1... 300 ug/300ug 3,000 $3,102.00 — ● Active CMS + PDAC
72374-0102-01 NYPOZI txid filgrastim-txid 480 ug/480ug INJECTION Tanvex 1 SYRINGE, GLASS in 1 CARTON (72374-102-01... 480 ug/480ug 480 $496.32 — ● Active CMS + PDAC
72374-0102-10 NYPOZI txid filgrastim-txid 480 ug/480ug INJECTION Tanvex 10 SYRINGE, GLASS in 1 CARTON (72374-102-1... 480 ug/480ug 4,800 $4,963.20 — ● Active CMS + PDAC
NDC→HCPCS mappings come from the CMS ASP NDC-HCPCS crosswalk; additional DME MAC / DMEPOS mappings come from PDAC and are labeled separately. NADAC from CMS (weekly). “Status” reflects the product's marketing / obsolete flag in the NDC directory. Presence or absence here does not determine Medicare coverage. Linked NDCs open the full product page.

🗺️ Medicare utilization & spend CMS · PART B

No reportable public Medicare utilization was found for Q5148. This is expected for newer codes, low-volume drugs, or codes whose use is billed under another code. CMS also hides any figure covering fewer than 11 patients (a privacy rule), so small-volume use may exist but isn't publishable. Utilization and spend appear here automatically once CMS publishes reportable data for this code.

📊 What bills under Q5148

J-codes are billing codes often used for drugs billed under the medical benefit. This connects the billing code to the NDC package records it covers, by ingredient and labeler.

NDC products by ingredient
filgrastim-txid 4
NDC products by labeler
Cipla USA Inc. 2
Tanvex BioPharma USA, Inc. 2

🗃️ Data sources & freshness

Every figure on this page is computed from public datasets. Here's what each section draws on and how current it is.
HCPCS code & descriptor
CMS HCPCS Level II code file
Not available in current dataset
Payment limit & billing unit
CMS Medicare Part B ASP Pricing File (quarterly)
Q3 2026 · as of 2026-08-20
NDC ↔ HCPCS crosswalk
CMS ASP NDC-HCPCS crosswalk + DMEPDAC (PDAC)
8 NDCs mapped
NADAC acquisition cost
CMS National Average Drug Acquisition Cost (weekly)
Not available for mapped NDCs
Utilization & spend
CMS Part B Spending by Drug · PSPS · Physician & Other Practitioners
No reportable utilization
Figures are estimates for reference and may lag the source files. Always verify against the current CMS files and your payer's policy before submitting claims.

⚠️ Practical billing caveats

  • A crosswalk is not coverage. An NDC mapping or a published payment limit does not guarantee a payer will cover or pay this code. Check the specific plan's policy.
  • Units ≠ milligrams. Bill the number of HCPCS units (dose ÷ the code's unit size), not the milligram dose. Use the calculator above.
  • Discarded drug. For single-dose vials, drug discarded after administration may be separately billable with modifier JW (and JZ when nothing is discarded) where the payer allows.
  • Rounding & partial units. Many payers require whole units; round per the payer's policy, not automatically up.
  • The code can cover more than this drug. Some HCPCS codes span multiple products or strengths — confirm the exact code for the product administered.
  • Figures lag. ASP limits change quarterly and utilization data are released with a delay. Verify against the current CMS files before billing.

❓ Q5148 billing FAQ

What is HCPCS code Q5148?
Q5148 is a HCPCS Level II Q-code used to bill Inj, nyposi 1 mcg under Medicare Part B and most medical (not pharmacy) benefits.
What is the billing unit for Q5148?
One unit of Q5148 represents 1 MCG. Report the number of units equal to the dose administered divided by 1 MCG.
How many units of Q5148 should I bill?
Divide the dose administered by the code's unit size (1 MCG) to get the number of billing units, then round per your payer's policy. The calculator on this page converts a dose into billing units and projects a full course.
How much does Medicare pay for Q5148?
The Medicare Part B payment limit is $1.034 per unit (Q3 2026), based on ASP + 6%. After the 2% sequester the effective payment is about $1.013 per unit. Payment limits are revised quarterly.
Which NDCs bill under Q5148?
8 NDCs currently map to Q5148 in the CMS ASP NDC-HCPCS crosswalk. See the NDC crosswalk table above for each product, package, billing units and estimated reimbursement.
Does a crosswalk mean Q5148 is covered?
No. An NDC-to-HCPCS crosswalk and a published payment limit do not guarantee coverage or payment. Coverage depends on the payer, the diagnosis and the site of care — always verify the current policy before billing.
For professional billing reference only — verify against the current CMS files before submitting claims.