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Q5142 - HCPCS Level II | Verity

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HCPCS Level IItemporaryActive

Q5142

Inj adalimumab-ryvk, 1 mg

BETOS: O1E

Effective: 2025-01-01

Description

Injection, adalimumab-ryvk biosimilar, 1 mg

Drug Products

FDA-registered drug products mapped to this HCPCS code

ADALIMUMAB-RYVK AUTOINJECTOR 40 MG/0.4 ML

NDC: 51759-0360-02SC

Billing: EA

SIMLANDI 40 MG/0.4 ML

NDC: 51759-0402-02SC

Billing: EA

SIMLANDI 40 MG/0.4 ML

NDC: 51759-0402-17SC

Billing: EA

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Medicare Fee Schedule

2026 Medicare Physician Fee Schedule national payment rates

Non-Covered

This code is non-covered by Medicare.

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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