2021/2022 HCPCS Code Q5108

Injection, pegfilgrastim-jmdb, biosimilar, (fulphila), 0.5 mg
Short Description Injection, fulphila
HCPCS Coverage Code C = Carrier judgment
HCPCS Action Code N = No maintenance for this code
HCPCS Action Effective Date October 01, 2018
HCPCS Code Added Date October 01, 2018
HCPCS Pricing Indicator Code 53 = Statute
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 October 01, 2018
HCPCS Type Of Service Code 1 = Medical care
P = Lump sum purchase of DME, prosthetics, orthotics
HCPCS Anesthesia Base Unit Quantity 0