Changes to biosimiliar biological product HCPCS codes

On April 1, 2018, HCPCS code Q5102 was replaced with HCPCS codes Q5103 and Q5104. For a listing of the HCPCS code changes and their code descriptors, see the table below. HCPCS Code Long Descriptor Termination Date Q5102 Injection, infliximab, biosimilar, 10 mg 03/31/2018 Q5103 Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg   Q5104 Injection, infliximab-abda, biosimilar, (renflexis), 10 mg   ...

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Note:  The following article synopsis was NOT provided by the AHA. It was created by Find-A-Code/innoviHealth.

Article Overview

This short article covers a HCPCS coding update for biosimilar biological products effective in 2018. It is intended for coders, billers, and reimbursement staff who need to track code maintenance changes and identify which HCPCS identifiers are affected.

Why This Topic Matters

Keeping up with HCPCS code changes is important for accurate claims processing, charge capture, and reference maintenance. Articles like this help users monitor code replacements and other coding updates without having to search through multiple source documents.

What You Will Learn

  • What the article is about at a general level
  • Which HCPCS code update is discussed
  • When the update took effect
  • How the article presents the affected codes in a summary table

Who Should Read This

  • Medical coders
  • Billing staff
  • Reimbursement specialists
  • Practice managers
  • Healthcare compliance staff

Codes Discussed

  • HCPCS: Q5102
  • HCPCS: Q5103
  • HCPCS: Q5104

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