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Q5145 Injection, abrilada, 1 milligrams

Q Codes

Also known as: adalimumab biosimilar, Abrilada

Injection of adalimumab-abrilada (Abrilada), 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 rheumatoid arthritis, polyarticular juvenile idiopathic arthritis, and other TNF-mediated conditions. Provides similar efficacy and safety profile to reference adalimumab.

RVU Information

CPT Q5145 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

RheumatologyPediatricsInternal Medicine

Frequently Asked Questions

What is CPT code Q5145?

CPT Q5145 (Injection, abrilada, 1 milligrams) is a Q Codes code. Injection of adalimumab-abrilada (Abrilada), a biosimilar to adalimumab, administered at 1 milligram per dose.

Is Q5145 covered by insurance?

Q5145 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Used for rheumatoid arthritis, polyarticular juvenile idiopathic arthritis, and other TNF-mediated conditions. Provides similar efficacy and safety profile to reference adalimumab.

When is CPT Q5145 used?

Used for rheumatoid arthritis, polyarticular juvenile idiopathic arthritis, and other TNF-mediated conditions. Provides similar efficacy and safety profile to reference adalimumab.

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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.