In short

Zirabev is billed under HCPCS Q5118 — Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg. One billing unit is 10 mg. CMS's crosswalk lists 2 Zirabev NDCs under this code.

Q5118 code details

Reference

Q5118
Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mgBilling unit: 10 mg
Labelers
Pfizer Inc

Medicare Part B payment limit

CMS ASP file
Payment limit per unit$25.939
Per10 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

Zirabev units and claim line

Enter the dose given to get the Q5118 units and the NDC line for the CMS-1500 and the 837P.

Enter the dose given to build the claim line.

Zirabev 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.

Zirabev NDCs in the CMS ASP crosswalk
NDC (11-digit)HCPCSLabelerPackageBilling units per package
00069-0315-01Q5118Pfizer Inc410
00069-0342-01Q5118Pfizer Inc1640

Zirabev: common questions

What is the HCPCS code for Zirabev?
Zirabev is billed under HCPCS Q5118 — Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg. One billing unit is 10 mg. CMS's crosswalk lists 2 Zirabev NDCs under this code.
How many Q5118 billing units are in a package of Zirabev?
CMS lists 10 to 40 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 Q5118 a CPT code?
No. Q5118 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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