How many Q5130 billing units are in a package of Fylnetra?

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.

No. Q5130 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.

Fylnetra HCPCS Code Q5130 — Billing Units & NDCs

In short

Fylnetra is billed under HCPCS Q5130 — Injection, pegfilgrastim-pbbk (fylnetra), biosimilar, 0.5 mg. One billing unit is 0.5 mg. CMS's crosswalk lists 1 Fylnetra NDC under this code.

Q5130 code details

Reference

Q5130: Injection, pegfilgrastim-pbbk (fylnetra), biosimilar, 0.5 mgBilling unit: 0.5 mg
Labelers: Amneal Pharmaceuticals, LLC

Medicare Part B payment limit

CMS ASP file

Payment limit per unit$94.292

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: 8% of reference add-on applied. A payment limit is not a coverage decision; the Medicare contractor decides coverage. CMS ASP pricing files

Fylnetra units and claim line

Enter the dose given to get the Q5130 units and the NDC line for the CMS-1500 and the 837P.

Dose given (mg)

HCPCS units (1 unit = 0.5 mg)

Modifier

NDC (11-digit)

NDC unit qualifier

NDC quantity

Enter the dose given to build the claim line.

Fylnetra 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.

Fylnetra NDCs in the CMS ASP crosswalk
NDC (11-digit)	HCPCS	Labeler	Package	Billing units per package
70121-1627-01	Q5130	Amneal Pharmaceuticals, LLC	0.6	12

Fylnetra: common questions

What is the HCPCS code for Fylnetra?: Fylnetra is billed under HCPCS Q5130 — Injection, pegfilgrastim-pbbk (fylnetra), biosimilar, 0.5 mg. One billing unit is 0.5 mg. CMS's crosswalk lists 1 Fylnetra NDC under this code.
How many Q5130 billing units are in a package of Fylnetra?: 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 Q5130 a CPT code?: No. Q5130 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.

Fylnetra HCPCS Code

Reference

Medicare Part B payment limit

Fylnetra units and claim line

Fylnetra NDCs and billing units

Fylnetra: common questions

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Reference

Medicare Part B payment limit

Fylnetra units and claim line

Fylnetra NDCs and billing units

Fylnetra: common questions

Other codes for the same drug

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