No. Q5102 is a HCPCS Level II code, maintained by CMS, that identifies the drug supplied. CPT codes are five-digit numbers from the AMA that describe services. Giving the drug, for example an injection or infusion, is usually reported with a separate CPT administration code.

What is one billing unit of Q5102?

One unit of Q5102 is 10 mg, as stated in the code's descriptor. Units to report = dose given ÷ 10 mg.

Q5102 (Retired 2018) — Inj., infliximab biosimilar

Q5102 was retired on Mar 31, 2018

CMS ended Q5102 after Mar 31, 2018. Don’t report it for later dates of service. Current codes for the same drug:

Code

CMS HCPCS file

HCPCS codeQ5102

Billing unit10 mg

Descriptor: Injection, infliximab, biosimilar, 10 mg
Short descriptor: Inj., infliximab biosimilar
Code set: HCPCS Level II, maintained by CMS
Effective: Apr 1, 2018

The billing unit is read from the descriptor. Confirm it against the CMS file before billing.

Find the NDC

Med-Code hasn’t mapped Q5102 to specific products yet. Search the FDA NDC Directory for the drug named in the descriptor, and check the route and strength match the code.

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Q5102: common questions

Is Q5102 a CPT code?: No. Q5102 is a HCPCS Level II code, maintained by CMS, that identifies the drug supplied. CPT codes are five-digit numbers from the AMA that describe services. Giving the drug, for example an injection or infusion, is usually reported with a separate CPT administration code. CPT codes for drug administration.
What is one billing unit of Q5102?: One unit of Q5102 is 10 mg, as stated in the code's descriptor. Units to report = dose given ÷ 10 mg. J-code billing units.

Q5102 — Injection, infliximab, biosimilar, 10 mg

Code

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Q5102: common questions

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