2021/2022 HCPCS Code Q5104

Injection, infliximab-abda, biosimilar, (renflexis), 10 mg
Short Description Injection, renflexis
Procedure Note 0187 = PUB. 100 - 4, CHAPTER 17.
HCPCS Coverage Code D = Special coverage instructions apply
HCPCS Action Code N = No maintenance for this code
HCPCS Action Effective Date April 01, 2018
HCPCS Code Added Date April 01, 2018
HCPCS Pricing Indicator Code 51 = Drugs
HCPCS Multiple Pricing Indicator Code A = Not applicable as HCPCS priced under one methodology
HCPCS ASC Payment Group Code YY
HCPCS ASC Payment Group Effective Date April 01, 2018
HCPCS Type Of Service Code 1 = Medical care
P = Lump sum purchase of DME, prosthetics, orthotics
HCPCS Anesthesia Base Unit Quantity 0