In short

Bkemv is billed under HCPCS Q5152 — Injection, eculizumab-aeeb (bkemv), biosimilar, 2 mg. One billing unit is 2 mg. CMS's crosswalk lists 1 Bkemv NDC under this code.

Q5152 code details

Reference

Q5152
Injection, eculizumab-aeeb (bkemv), biosimilar, 2 mgBilling unit: 2 mg
Labelers
Amgen Inc

Medicare Part B payment limit

CMS ASP file
Payment limit per unit$40.412
Per2 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

Bkemv units and claim line

Enter the dose given to get the Q5152 units and the NDC line for the CMS-1500 and the 837P.

Enter the dose given to build the claim line.

Bkemv 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.

Bkemv NDCs in the CMS ASP crosswalk
NDC (11-digit)HCPCSLabelerPackageBilling units per package
55513-0180-01Q5152Amgen Inc30150

Bkemv: common questions

What is the HCPCS code for Bkemv?
Bkemv is billed under HCPCS Q5152 — Injection, eculizumab-aeeb (bkemv), biosimilar, 2 mg. One billing unit is 2 mg. CMS's crosswalk lists 1 Bkemv NDC under this code.
How many Q5152 billing units are in a package of Bkemv?
CMS lists 150 billing units per package, depending on the NDC, where one unit is 2 mg. Units to report are based on the dose given, not the package.
Is Q5152 a CPT code?
No. Q5152 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