HCPCS drug code · CMS crosswalk
Cimerli HCPCS Code
In short
Cimerli is billed under HCPCS Q5128 — Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg. One billing unit is 0.1 mg. CMS's crosswalk lists 4 Cimerli NDCs under this code.
Reference
- Q5128
- Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mgBilling unit: 0.1 mg
- Labelers
- Sandoz Inc.
Medicare Part B payment limit
CMS ASP fileEffective October 1, 2026 through December 31, 2026. Payment allowance limits subject to the ASP methodology are based on 2Q26 ASP data. A payment limit is not a coverage decision; the Medicare contractor decides coverage. CMS ASP pricing files
Cimerli units and claim line
Enter the dose given to get the Q5128 units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Cimerli 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.
| NDC (11-digit) | HCPCS | Labeler | Package | Billing units per package |
|---|---|---|---|---|
| 61314-0624-94 | Q5128 | Sandoz Inc. | 0.05 | 3 |
| 61314-0625-94 | Q5128 | Sandoz Inc. | 0.05 | 5 |
| 70114-0440-01 | Q5128 | Sandoz Inc. | 0.05 | 3 |
| 70114-0441-01 | Q5128 | Sandoz Inc. | 0.05 | 5 |
Cimerli: common questions
- What is the HCPCS code for Cimerli?
- Cimerli is billed under HCPCS Q5128 — Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg. One billing unit is 0.1 mg. CMS's crosswalk lists 4 Cimerli NDCs under this code.
- How many Q5128 billing units are in a package of Cimerli?
- CMS lists 3 to 5 billing units per package, depending on the NDC, where one unit is 0.1 mg. Units to report are based on the dose given, not the package.
- Is Q5128 a CPT code?
- No. Q5128 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.