Table of content for "Inj ustekinumab-stba, 1 mg" (HCPCS Q5099)
General information on the “Q5099” code
HCPCS Code: Q5099
Long Description: Injection, ustekinumab-stba (steqeyma), biosimilar, 1 mg
Short Description: Inj ustekinumab-stba, 1 mg
Original information is taken from Q5099 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: 20250701
Type of service
Berenson-Eggers Type of Service (BETOS): O1E – Other drugs
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: 20250701
Code Effective Date: 20250701
Action Code: A – Add procedure or modifier code