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Q5114 - HCPCS Level II | Verity

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HCPCS Level IItemporaryActive

Q5114

Inj ogivri 10 mg

BETOS: O1E

Effective: 2019-07-01

Description

Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg

Drug Products

FDA-registered drug products mapped to this HCPCS code

OGIVRI (KIT COMPONENT,PF) 420 MG

NDC: 67457-0845-50IV

Billing: EA

OGIVRI (PF,LYOPHILIZED) 420 MG

NDC: 67457-0847-44IV

Billing: EA

OGIVRI (SDV,PF,LYOPHILIZED) 150 MG

NDC: 67457-0991-15IV

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

No coverage policies currently reference this code

This code is not currently listed in any LCD or NCD coverage policies in our database.

About HCPCS Level II

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

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