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Q5147 - HCPCS Level II | Verity

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HCPCS Level IItemporaryActive

Q5147

Inj, aflibercept-ayyh, 1 mg

BETOS: O1E

Effective: 2025-04-01

Referenced in 2 policies

Description

Injection, aflibercept-ayyh (pavblu), biosimilar, 1 mg

Drug Products

FDA-registered drug products mapped to this HCPCS code

PAVBLU PREFILLED-SYRINGE 2 MG/0.05 ML

NDC: 55513-0056-01IO

Billing: ML

PAVBLU SINGLE-DOSE VIAL 2 MG/0.05 ML

NDC: 55513-0065-01IO

Billing: ML

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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 2 Medicare coverage policies

Sample Policies

A52451Articlecovered

Billing and Coding: Ranibizumab and biosimilars, Aflibercept, Aflibercept HD, Brolucizumab-dbll, Faricimab-svoa, PAVBLUaflibercept-ayyh, AHZANTIVE®aflibercept-abzv. ENZEEVUaflibercept-mrbb, OPUVIZaflibercept-yszy and YESAFILI aflibercept-jbvf

A53387Articlecovered

Billing and Coding: Aflibercept (EYLEA®)

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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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