In short

Bildyos is billed under HCPCS Q5162 — Injection, denosumab-nxxp (bildyos/bilprevda), biosimilar, 1 mg. One billing unit is 1 mg. CMS's crosswalk lists 1 Bildyos NDC under this code.

Q5162 code details

Reference

Q5162
Injection, denosumab-nxxp (bildyos/bilprevda), biosimilar, 1 mgBilling unit: 1 mg
Labelers
Organon LLC

Medicare Part B payment limit

CMS ASP file
Payment limit per unit$15.336
Per1 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: 8% of reference add-on applied. A payment limit is not a coverage decision; the Medicare contractor decides coverage. CMS ASP pricing files

Bildyos units and claim line

Enter the dose given to get the Q5162 units and the NDC line for the CMS-1500 and the 837P.

Enter the dose given to build the claim line.

Bildyos 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.

Bildyos NDCs in the CMS ASP crosswalk
NDC (11-digit)HCPCSLabelerPackageBilling units per package
78206-0193-01Q5162Organon LLC160

Bildyos: common questions

What is the HCPCS code for Bildyos?
Bildyos is billed under HCPCS Q5162 — Injection, denosumab-nxxp (bildyos/bilprevda), biosimilar, 1 mg. One billing unit is 1 mg. CMS's crosswalk lists 1 Bildyos NDC under this code.
How many Q5162 billing units are in a package of Bildyos?
CMS lists 60 billing units per package, depending on the NDC, where one unit is 1 mg. Units to report are based on the dose given, not the package.
Is Q5162 a CPT code?
No. Q5162 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.

Related

Free account

Keep searching with a free account

You’ve used your 3 free searches for this session. Log in or create a free Med-Code account to keep looking up NDCs, J-codes and drugs.

Create a free accountLog in