Q5139 was retired on Mar 31, 2025

CMS ended Q5139 after Mar 31, 2025. Don’t report it for later dates of service. Current codes for the same drug:

Code

CMS HCPCS file
HCPCS codeQ5139
Billing unit10 mg
Descriptor
Injection, eculizumab-aeeb (bkemv), biosimilar, 10 mg
Short descriptor
Inj, eculizumab-aeeb, 10 mg
Code set
HCPCS Level II, maintained by CMS
Effective
Apr 1, 2025

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

Find the NDC

Med-Code hasn’t mapped Q5139 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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Q5139: common questions

Is Q5139 a CPT code?
No. Q5139 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 Q5139?
One unit of Q5139 is 10 mg, as stated in the code's descriptor. Units to report = dose given ÷ 10 mg. J-code billing units.

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