HCPCS drug code · CMS crosswalk
Ruxience HCPCS Code
In short
Ruxience is billed under HCPCS Q5119 — Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg. One billing unit is 10 mg. CMS's crosswalk lists 2 Ruxience NDCs under this code.
Reference
- Q5119
- Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mgBilling unit: 10 mg
- Labelers
- Pfizer 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. CMS note: AMP-based payment limit. A payment limit is not a coverage decision; the Medicare contractor decides coverage. CMS ASP pricing files
Ruxience units and claim line
Enter the dose given to get the Q5119 units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Ruxience 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 |
|---|---|---|---|---|
| 00069-0238-01 | Q5119 | Pfizer Inc | 10 | 10 |
| 00069-0249-01 | Q5119 | Pfizer Inc | 50 | 50 |
Ruxience: common questions
- What is the HCPCS code for Ruxience?
- Ruxience is billed under HCPCS Q5119 — Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg. One billing unit is 10 mg. CMS's crosswalk lists 2 Ruxience NDCs under this code.
- How many Q5119 billing units are in a package of Ruxience?
- CMS lists 10 to 50 billing units per package, depending on the NDC, where one unit is 10 mg. Units to report are based on the dose given, not the package.
- Is Q5119 a CPT code?
- No. Q5119 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.