In short

Armlupeg is billed under HCPCS Q5169 — Injection, pegfilgrastim-unne (armlupeg), biosimilar, 0.5 mg. One billing unit is 0.5 mg. CMS's crosswalk lists 1 Armlupeg NDC under this code.

Q5169 code details

Reference

Q5169
Injection, pegfilgrastim-unne (armlupeg), biosimilar, 0.5 mgBilling unit: 0.5 mg
Labelers
Lupin Pharmaceuticals, Inc.

Medicare Part B payment limit

CMS ASP file
Payment limit per unit$519.481
Per0.5 mg
Coinsurance20%

Effective October 1, 2026 through December 31, 2026. Payment allowance limits subject to the ASP methodology are based on 2Q26 ASP data. CMS note: Added October 2026. A payment limit is not a coverage decision; the Medicare contractor decides coverage. CMS ASP pricing files

Armlupeg units and claim line

Enter the dose given to get the Q5169 units and the NDC line for the CMS-1500 and the 837P.

Enter the dose given to build the claim line.

Armlupeg NDCs and billing units

From CMS’s ASP NDC–HCPCS crosswalk, effective October 1, 2026 through December 31, 2026. Billing units per package are CMS’s figures for the code’s unit.

Armlupeg NDCs in the CMS ASP crosswalk
NDC (11-digit)HCPCSLabelerPackageBilling units per package
70748-0273-01Q5169Lupin Pharmaceuticals, Inc.0.612

Armlupeg: common questions

What is the HCPCS code for Armlupeg?
Armlupeg is billed under HCPCS Q5169 — Injection, pegfilgrastim-unne (armlupeg), biosimilar, 0.5 mg. One billing unit is 0.5 mg. CMS's crosswalk lists 1 Armlupeg NDC under this code.
How many Q5169 billing units are in a package of Armlupeg?
CMS lists 12 billing units per package, depending on the NDC, where one unit is 0.5 mg. Units to report are based on the dose given, not the package.
Is Q5169 a CPT code?
No. Q5169 is a HCPCS Level II code from CMS for the drug itself. Giving it, for example by injection or infusion, is usually reported with a separate CPT administration code.

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