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Q-code: Temporary codes Temporary codes

644 codes

Billing context

Q-codes are temporary national codes recognized by Medicare. For drugs they include biosimilar products (Q51xx) and other drugs, biologicals, and skin substitutes that are not yet assigned a permanent code. Units follow the dosage in the descriptor.
Q-codes, page 6 of 7
CodeLong descriptorPayment limit (Q4 2026)AddedStatus
Q4432510(k) skin substitute product, not otherwise specified (list in addition to primary procedure)NOC / NOS—Jan 1, 2026Active
Q4433361 hct/p skin substitute product, not otherwise specified (list in addition to primary procedure)NOC / NOS—Jan 1, 2026Active
Q4435Renati membrane, per square centimeter (add-on, list separately in addition to primary procedure)—Apr 1, 2026Active
Q4436Renati ac membrane, per square centimeter (add-on, list separately in addition to primary procedure)—Apr 1, 2026Active
Q4437Revival ac, per square centimeter (add-on, list separately in addition to primary procedure)—Apr 1, 2026Active
Q4438Pretect, per square centimeter (add-on, list separately in addition to primary procedure)—Apr 1, 2026Active
Q4439Instagraft, per square centimeter (add-on, list separately in addition to primary procedure)—Apr 1, 2026Active
Q4440Curamatrix, per square centimeter (add-on, list separately in addition to primary procedure)—Apr 1, 2026Active
Q5001Hospice or home health care provided in patient's home/residence—Jan 1, 2007Active
Q5002Hospice or home health care provided in assisted living facility—Jan 1, 2007Active
Q5003Hospice care provided in nursing long term care facility (ltc) or non-skilled nursing facility (nf)—Jan 1, 2007Active
Q5004Hospice care provided in skilled nursing facility (snf)—Jan 1, 2007Active
Q5005Hospice care provided in inpatient hospital—Jan 1, 2007Active
Q5006Hospice care provided in inpatient hospice facility—Jan 1, 2007Active
Q5007Hospice care provided in long term care facility—Jan 1, 2007Active
Q5008Hospice care provided in inpatient psychiatric facility—Jan 1, 2007Active
Q5009Hospice or home health care provided in place not otherwise specified (nos)NOC / NOS—Jan 1, 2007Active
Q5010Hospice home care provided in a hospice facility—Oct 1, 2010Active
Q5098Injection, ustekinumab-srlf (imuldosa), biosimilar, 1 mg$9.270per 1 MGJul 1, 2025Active
Q5099Injection, ustekinumab-stba (steqeyma), biosimilar, 1 mg$2.890per 1 MGJul 1, 2025Active
Q5100Injection, ustekinumab-kfce (yesintek), biosimilar, 1 mg$3.080per 1 MGJul 1, 2025Active
Q5101Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram$0.338per 1 MCGJul 1, 2015Active
Q5102Injection, infliximab, biosimilar, 10 mg—Jul 1, 2016Ended Mar 31, 2018
Q5103Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg$28.456per 10 MGApr 1, 2018Active
Q5104Injection, infliximab-abda, biosimilar, (renflexis), 10 mg$25.649per 10 MGApr 1, 2018Active
Q5105Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units$0.817per 100 UNITSJul 1, 2018Active
Q5106Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units$8.171per 1000 UNITSJul 1, 2018Active
Q5107Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg$28.294per 10 MGJan 1, 2019Active
Q5108Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg$55.964per 0.5 MGOct 1, 2018Active
Q5109Injection, infliximab-qbtx, biosimilar, (ixifi), 10 mg—Jan 1, 2019Ended Dec 31, 2025
Q5110Injection, filgrastim-aafi, biosimilar, (nivestym), 1 microgram$0.329per 1 MCGOct 1, 2018Active
Q5111Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg$128.967per 0.5 MGJan 1, 2019Active
Q5112Injection, trastuzumab-dttb, biosimilar, (ontruzant), 10 mg$32.791per 10 MGJul 1, 2019Active
Q5113Injection, trastuzumab-pkrb, biosimilar, (herzuma), 10 mg$55.295per 10 MGJul 1, 2019Active
Q5114Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg$29.507per 10 MGJul 1, 2019Active
Q5115Injection, rituximab-abbs, biosimilar, (truxima), 10 mg$35.988per 10 MGJul 1, 2019Active
Q5116Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg$11.271per 10 MGOct 1, 2019Active
Q5117Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg$63.871per 10 MGOct 1, 2019Active
Q5118Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg$25.939per 10 MGOct 1, 2019Active
Q5119Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg$5.792per 10 MGJul 1, 2020Active
Q5120Injection, pegfilgrastim-bmez (ziextenzo), biosimilar, 0.5 mg$302.247per 0.5 MGJul 1, 2020Active
Q5121Injection, infliximab-axxq, biosimilar, (avsola), 10 mg$34.686per 10 MGJul 1, 2020Active
Q5122Injection, pegfilgrastim-apgf (nyvepria), biosimilar, 0.5 mg$141.289per 0.5 MGJan 1, 2021Active
Q5123Injection, rituximab-arrx, biosimilar, (riabni), 10 mg$21.083per 10 MGJul 1, 2021Active
Q5124Injection, ranibizumab-nuna, biosimilar, (byooviz), 0.1 mg$249.493per 0.1 MGApr 1, 2022Active
Q5125Injection, filgrastim-ayow, biosimilar, (releuko), 1 microgram$0.308per 1 MCGOct 1, 2022Active
Q5126Injection, bevacizumab-maly, biosimilar, (alymsys), 10 mg$79.982per 10 MGJan 1, 2023Active
Q5127Injection, pegfilgrastim-fpgk (stimufend), biosimilar, 0.5 mg$163.948per 0.5 MGApr 1, 2023Active
Q5128Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg$81.130per 0.1 MGApr 1, 2023Active
Q5129Injection, bevacizumab-adcd (vegzelma), biosimilar, 10 mg$21.139per 10 MGApr 1, 2023Active
Q5130Injection, pegfilgrastim-pbbk (fylnetra), biosimilar, 0.5 mg$94.292per 0.5 MGApr 1, 2023Active
Q5131Injection, adalimumab-aacf (idacio), biosimilar, 20 mg—Jul 1, 2023Ended Dec 31, 2024
Q5132Injection, adalimumab-afzb (abrilada), biosimilar, 10 mg—Jan 1, 2024Ended Dec 31, 2024
Q5133Injection, tocilizumab-bavi (tofidence), biosimilar, 1 mg$4.706per 1 MGApr 1, 2024Active
Q5134Injection, natalizumab-sztn (tyruko), biosimilar, 1 mg$24.397per 1 MGApr 1, 2024Active
Q5135Injection, tocilizumab-aazg (tyenne), biosimilar, 1 mg$4.370per 1 MGOct 1, 2024Active
Q5136Injection, denosumab-bbdz (jubbonti/wyost), biosimilar, 1 mg$26.991per 1 MGOct 1, 2024Active
Q5137Injection, ustekinumab-auub (wezlana), biosimilar, subcutaneous, 1 mg—Jul 1, 2024Active
Q5138Injection, ustekinumab-auub (wezlana), biosimilar, intravenous, 1 mg$2.273per 1 MGJul 1, 2024Active
Q5139Injection, eculizumab-aeeb (bkemv), biosimilar, 10 mg—Jan 1, 2025Ended Mar 31, 2025
Q5140Injection, adalimumab-fkjp, biosimilar, 1 mg—Jan 1, 2025Active
Q5141Injection, adalimumab-aaty, biosimilar, 1 mg—Jan 1, 2025Active
Q5142Injection, adalimumab-ryvk biosimilar, 1 mg—Jan 1, 2025Active
Q5143Injection, adalimumab-adbm, biosimilar, 1 mg—Jan 1, 2025Active
Q5144Injection, adalimumab-aacf (idacio), biosimilar, 1 mg—Jan 1, 2025Active
Q5145Injection, adalimumab-afzb (abrilada), biosimilar, 1 mg—Jan 1, 2025Active
Q5146Injection, trastuzumab-strf (hercessi), biosimilar, 10 mg$30.255per 10 MGJan 1, 2025Active
Q5147Injection, aflibercept-ayyh (pavblu), biosimilar, 1 mg$763.376per 1 MGApr 1, 2025Active
Q5148Injection, filgrastim-txid (nypozi), biosimilar, 1 microgram$1.026per 1 MCGApr 1, 2025Active
Q5149Injection, aflibercept-abzv (enzeevu), biosimilar, 1 mg—Apr 1, 2025Active
Q5150Injection, aflibercept-mrbb (ahzantive), biosimilar, 1 mg—Apr 1, 2025Active
Q5151Injection, eculizumab-aagh (epysqli), biosimilar, 2 mg$31.547per 2 MGApr 1, 2025Active
Q5152Injection, eculizumab-aeeb (bkemv), biosimilar, 2 mg$40.412per 2 MGApr 1, 2025Active
Q5153Injection, aflibercept-yszy (opuviz), biosimilar, 1 mg—Jul 1, 2025Active
Q5154Injection, omalizumab-igec (omlyclo), biosimilar, 5 mg—Oct 1, 2025Active
Q5155Injection, aflibercept-jbvf (yesafili), biosimilar, 1 mg—Oct 1, 2025Active
Q5156Injection, tocilizumab-anoh (avtozma), biosimilar, 1 mg$3.098per 1 MGOct 1, 2025Active
Q5157Injection, denosumab-bmwo (stoboclo/osenvelt), biosimilar, 1 mg$24.002per 1 MGOct 1, 2025Active
Q5158Injection, denosumab-bnht (bomyntra/conexxence), biosimilar, 1 mg$28.702per 1 MGOct 1, 2025Active
Q5159Injection, denosumab-dssb (ospomyv/xbryk), biosimilar, 1 mg—Oct 1, 2025Active
Q5160Injection, bevacizumab-nwgd (jobevne), biosimilar, 10 mg$82.139per 10 MGJan 1, 2026Active
Q5161Injection, denosumab-kyqq (aukelso/bosaya), biosimilar, 1 mg$27.509per 1 MGApr 1, 2026Active
Q5162Injection, denosumab-nxxp (bildyos/bilprevda), biosimilar, 1 mg$15.336per 1 MGApr 1, 2026Active
Q5164Injection, ustekinumab-hmny (starjemza), biosimilar, 1 mg—Jul 1, 2026Active
Q5165Injection, denosumab-mobz (oziltus), biosimilar, 1 mg—Jul 1, 2026Active
Q5166Injection, denosumab-desu (osvyrti/jubereq), biosimilar, 1 mg—Jul 1, 2026Active
Q5167Injection, denosumab-qbde (enoby/xtrenbo), biosimilar, 1 mg$7.681per 1 MGJul 1, 2026Active
Q5168Injection, ranibizumab-leyk (nufymco), biosimilar, 0.1 mg$26.384per 0.1 MGJul 1, 2026Active
Q5169Injection, pegfilgrastim-unne (armlupeg), biosimilar, 0.5 mg$519.481per 0.5 MGJul 1, 2026Active
Q5170Injection, aflibercept-boav (eydenzelt), biosimilar, 1 mg—Jul 1, 2026Active
Q5171Injection, denosumab-mobz (boncresa), biosimilar, 1 mg—Jul 1, 2026Active
Q5172Injection, filgrastim-laha (filkri), biosimilar, 1 microgram—Oct 1, 2026Active
Q5173Injection, denosumab-adet (ponlimsi), biosimilar, 1 mg—Oct 1, 2026Active
Q9001Assessment by chaplain services—Oct 1, 2020Active
Q9002Counseling, individual, by chaplain services—Oct 1, 2020Active
Q9003Counseling, group, by chaplain services—Oct 1, 2020Active
Q9004Department of veterans affairs whole health partner services—Oct 1, 2021Active
Q9950Injection, sulfur hexafluoride lipid microspheres, per ml$18.052per 1 MLJan 1, 2016Active
Q9951Low osmolar contrast material, 400 or greater mg/ml iodine concentration, per ml—Apr 1, 2005Active
Q9953Injection, iron-based magnetic resonance contrast agent, per ml—Apr 1, 2005Active