In short

Ustekinumab-TTWE is billed under HCPCS Q9997 — Injection, ustekinumab-ttwe (pyzchiva), intravenous, 1 mg. One billing unit is 1 mg. CMS's crosswalk lists 1 Ustekinumab-TTWE NDC under this code.

Q9997 code details

Reference

Q9997
Injection, ustekinumab-ttwe (pyzchiva), intravenous, 1 mgBilling unit: 1 mg
Labelers
Quallent Pharmaceuticals

Medicare Part B payment limit

CMS ASP file
Payment limit per unit$8.591
Per1 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

Ustekinumab-TTWE units and claim line

Enter the dose given to get the Q9997 units and the NDC line for the CMS-1500 and the 837P.

Enter the dose given to build the claim line.

Ustekinumab-TTWE 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.

Ustekinumab-TTWE NDCs in the CMS ASP crosswalk
NDC (11-digit)HCPCSLabelerPackageBilling units per package
82009-0163-94Q9997Quallent Pharmaceuticals26130

Ustekinumab-TTWE: common questions

What is the HCPCS code for Ustekinumab-TTWE?
Ustekinumab-TTWE is billed under HCPCS Q9997 — Injection, ustekinumab-ttwe (pyzchiva), intravenous, 1 mg. One billing unit is 1 mg. CMS's crosswalk lists 1 Ustekinumab-TTWE NDC under this code.
How many Q9997 billing units are in a package of Ustekinumab-TTWE?
CMS lists 130 billing units per package, depending on the NDC, where one unit is 1 mg. Units to report are based on the dose given, not the package.
Is Q9997 a CPT code?
No. Q9997 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.

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