Table of content for "Inj alymsys 10 mg" (HCPCS Q5126)
General information on the “Q5126” code
HCPCS Code: Q5126
Long Description: Injection, bevacizumab-maly, biosimilar, (alymsys), 10 mg
Short Description: Inj alymsys 10 mg
Original information is taken from Q5126 page
Pricing indicators
Pricing Indicator Code 1: 51 – Drugs
Multiple Pricing Indicator Code A : Not applicable as HCPCS priced under one methodology
Certification and additional reference information
Coverage
Coverage: C – Carrier judgment
ASC Payment Group: YY
ASC Payment Group Effective Date: 20230101
Type of service
Berenson-Eggers Type of Service (BETOS): O1D – Chemotherapy
Type Of Service 1: 1 – Medical care
Type Of Service 2: P – Lump sum purchase of DME, prosthetics, orthotics
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 20230101
Code Effective Date: 20230101
Action Code: N – No maintenance for this code