How many Q5136 billing units are in a package of Wyost?

CMS lists 120 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.

No. Q5136 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.

Wyost HCPCS Code Q5136 — Billing Units & NDCs

In short

Wyost is billed under HCPCS Q5136 — Injection, denosumab-bbdz (jubbonti/wyost), biosimilar, 1 mg. One billing unit is 1 mg. CMS's crosswalk lists 1 Wyost NDC under this code.

Q5136 code details

Reference

Q5136: Injection, denosumab-bbdz (jubbonti/wyost), biosimilar, 1 mgBilling unit: 1 mg
Labelers: Sandoz Inc.

Medicare Part B payment limit

CMS ASP file

Payment limit per unit$26.991

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

Wyost units and claim line

Enter the dose given to get the Q5136 units and the NDC line for the CMS-1500 and the 837P.

Dose given (mg)

HCPCS units (1 unit = 1 mg)

Modifier

NDC (11-digit)

NDC unit qualifier

NDC quantity

Enter the dose given to build the claim line.

Wyost 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.

Wyost NDCs in the CMS ASP crosswalk
NDC (11-digit)	HCPCS	Labeler	Package	Billing units per package
61314-0228-94	Q5136	Sandoz Inc.	1.7	120

Wyost: common questions

What is the HCPCS code for Wyost?: Wyost is billed under HCPCS Q5136 — Injection, denosumab-bbdz (jubbonti/wyost), biosimilar, 1 mg. One billing unit is 1 mg. CMS's crosswalk lists 1 Wyost NDC under this code.
How many Q5136 billing units are in a package of Wyost?: CMS lists 120 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 Q5136 a CPT code?: No. Q5136 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.

Wyost HCPCS Code

Reference

Medicare Part B payment limit

Wyost units and claim line

Wyost NDCs and billing units

Wyost: common questions

Related

Keep searching with a free account

Reference

Medicare Part B payment limit

Wyost units and claim line

Wyost NDCs and billing units

Wyost: common questions

Other codes for the same drug

Related