HCPCS drug code · CMS crosswalk
Retacrit HCPCS Code
In short
CMS assigns Retacrit NDCs to 2 HCPCS codes: Q5105 (per 100 units), Q5106 (per 1000 units). Which one applies depends on the product; the table lists each NDC with its code.
Reference
- Q5105
- Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 unitsBilling unit: 100 units
- Q5106
- Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 unitsBilling unit: 1000 units
- Labelers
- Pfizer Inc; Vifor (International) 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
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
Retacrit units and claim line
Enter the dose given to get the Q5105 units and the NDC line for the CMS-1500 and the 837P. This builds the Q5105 line; use the code page for Q5106.
Enter the dose given to build the claim line.
Retacrit 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 |
|---|---|---|---|---|
| 00069-1305-10 | Q5105 | Pfizer Inc | 10 × 1 | 200 |
| 00069-1306-10 | Q5105 | Pfizer Inc | 10 × 1 | 300 |
| 00069-1307-10 | Q5105 | Pfizer Inc | 10 × 1 | 400 |
| 00069-1308-10 | Q5105 | Pfizer Inc | 10 × 1 | 1000 |
| 00069-1309-04 | Q5105 | Pfizer Inc | 4 × 1 | 1600 |
| 00069-1311-10 | Q5105 | Pfizer Inc | 10 × 1 | 2000 |
| 00069-1318-10 | Q5105 | Pfizer Inc | 10 × 2 | 1000 |
| 59353-0002-10 | Q5105 | Vifor (International) Inc. | 10 × 1 | 200 |
| 59353-0003-10 | Q5105 | Vifor (International) Inc. | 10 × 1 | 300 |
| 59353-0004-10 | Q5105 | Vifor (International) Inc. | 10 × 1 | 400 |
| 59353-0120-10 | Q5105 | Vifor (International) Inc. | 10 × 1 | 2000 |
| 59353-0220-10 | Q5105 | Vifor (International) Inc. | 10 × 2 | 1000 |
| 00069-1305-10 | Q5106 | Pfizer Inc | 10 × 1 | 20 |
| 00069-1306-10 | Q5106 | Pfizer Inc | 10 × 1 | 30 |
| 00069-1307-10 | Q5106 | Pfizer Inc | 10 × 1 | 40 |
| 00069-1308-10 | Q5106 | Pfizer Inc | 10 × 1 | 100 |
| 00069-1309-04 | Q5106 | Pfizer Inc | 4 × 1 | 160 |
| 00069-1311-10 | Q5106 | Pfizer Inc | 10 × 1 | 200 |
| 00069-1318-10 | Q5106 | Pfizer Inc | 10 × 2 | 100 |
| 59353-0002-10 | Q5106 | Vifor (International) Inc. | 10 × 1 | 20 |
| 59353-0003-10 | Q5106 | Vifor (International) Inc. | 10 × 1 | 30 |
| 59353-0004-10 | Q5106 | Vifor (International) Inc. | 10 × 1 | 40 |
| 59353-0120-10 | Q5106 | Vifor (International) Inc. | 10 × 1 | 200 |
| 59353-0220-10 | Q5106 | Vifor (International) Inc. | 10 × 2 | 100 |
Retacrit: common questions
- What is the HCPCS code for Retacrit?
- CMS assigns Retacrit NDCs to 2 HCPCS codes: Q5105 (per 100 units), Q5106 (per 1000 units). Which one applies depends on the product; the table lists each NDC with its code.
- How many Q5105 billing units are in a package of Retacrit?
- CMS lists 200 to 2,000 billing units per package, depending on the NDC, where one unit is 100 units. Units to report are based on the dose given, not the package.
- How many Q5106 billing units are in a package of Retacrit?
- CMS lists 20 to 200 billing units per package, depending on the NDC, where one unit is 1000 units. Units to report are based on the dose given, not the package.
- Is Q5105 a CPT code?
- No. Q5105 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.