Q5143 Injection adalimumab-adbm, 1 milligrams
Also known as: adalimumab biosimilar, Cyltezo
Injection of adalimumab-adbm (Cyltezo), a biosimilar to adalimumab, administered at 1 milligram per dose.
In Plain Language
TNF blocker injection; arthritis medication; immune system blocker
Clinical Context
Used for treatment of rheumatoid arthritis, ankylosing spondylitis, Crohn's disease, and other autoimmune conditions. Adalimumab biosimilars are administered subcutaneously as maintenance therapy for TNF-mediated inflammatory diseases.
RVU Information
CPT Q5143 does not have a physician work RVU assigned by CMS. Reimbursement for this code is determined by payer-specific fee schedules.
Billing & Documentation
Q-codes are temporary HCPCS codes used when no permanent code exists. Coverage and reimbursement vary by payer and region. Document the clinical indication and medical necessity. These codes may be replaced by permanent codes in future HCPCS updates.
Specialties
Frequently Asked Questions
What is CPT code Q5143?
CPT Q5143 (Injection adalimumab-adbm, 1 milligrams) is a Q Codes code. Injection of adalimumab-adbm (Cyltezo), a biosimilar to adalimumab, administered at 1 milligram per dose.
Is Q5143 covered by insurance?
Q5143 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Used for treatment of rheumatoid arthritis, ankylosing spondylitis, Crohn's disease, and other autoimmune conditions. Adalimumab biosimilars are administered subcutaneously as maintenance therapy for TNF-mediated inflammatory diseases.
When is CPT Q5143 used?
Used for treatment of rheumatoid arthritis, ankylosing spondylitis, Crohn's disease, and other autoimmune conditions. Adalimumab biosimilars are administered subcutaneously as maintenance therapy for TNF-mediated inflammatory diseases.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.