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Q5104 - HCPCS Level II | Verity

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HCPCS Level IItemporaryActive

Q5104

Injection, renflexis

BETOS: O1E

Effective: 2018-04-01

Referenced in 4 policies

Description

Injection, infliximab-abda, biosimilar, (renflexis), 10 mg

Drug Products

FDA-registered drug products mapped to this HCPCS code

RENFLEXIS (PF,LYOPHILIZED) 100 MG

NDC: 00006-4305-02IV

Billing: EA

RENFLEXIS (PF,LYOPHILIZED) 100 MG

NDC: 78206-0162-01IV

Billing: EA

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Medicare Fee Schedule

2026 Medicare Physician Fee Schedule national payment rates

Excluded

This code is excluded from the Medicare Physician Fee Schedule.

Coverage Policies

This code is referenced in 4 Medicare coverage policies

Sample Policies

AETNA-CPB-0341PayerPolicycovered

Infliximab

AETNA-CPB-0341PayerPolicycovered

Infliximab

+ 2 more policies

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About HCPCS Level II

Healthcare Common Procedure Coding System Level II codes for supplies, equipment, and non-physician services

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