In short

Q5144 is the HCPCS Level II code for injection, adalimumab-aacf (idacio), biosimilar, 1 mg. One billing unit is 1 mg.

Code

CMS HCPCS file
HCPCS codeQ5144
Billing unit1 mg
Descriptor
Injection, adalimumab-aacf (idacio), biosimilar, 1 mg
Short descriptor
Inj, idacio, 1 mg
Code set
HCPCS Level II, maintained by CMS
Effective
Jan 1, 2025

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

Units and claim line

Units = dose given ÷ 1 mg. For example, 100 mg is 100 units. Enter the dose to get the units and the NDC line for the CMS-1500 and the 837P.

Enter the dose given to build the claim line.

Find the NDC

Med-Code hasn’t mapped Q5144 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.

Search NDCs for adalimumab-aacf

Q5144: common questions

Is Q5144 a CPT code?
No. Q5144 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 Q5144?
One unit of Q5144 is 1 mg, as stated in the code's descriptor. Units to report = dose given ÷ 1 mg. J-code billing units.

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