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Q5152 Injection, eculizumab-aeeb, 2 milligrams

Q Codes

Also known as: eculizumab biosimilar, C5 inhibitor, complement inhibitor

Injection of eculizumab-aeeb (Fabhalta), a biosimilar to eculizumab, administered at 2 milligrams per dose.

In Plain Language

rare blood disorder treatment; immune system regulator; complement cascade blocker

Clinical Context

Used for atypical hemolytic uremic syndrome and paroxysmal nocturnal hemoglobinuria management. Blocks complement component 5 activation and administration is intravenous.

RVU Information

CPT Q5152 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

Hematology-OncologyNephrologyInternal Medicine

Frequently Asked Questions

What is CPT code Q5152?

CPT Q5152 (Injection, eculizumab-aeeb, 2 milligrams) is a Q Codes code. Injection of eculizumab-aeeb (Fabhalta), a biosimilar to eculizumab, administered at 2 milligrams per dose.

Is Q5152 covered by insurance?

Q5152 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Used for atypical hemolytic uremic syndrome and paroxysmal nocturnal hemoglobinuria management. Blocks complement component 5 activation and administration is intravenous.

When is CPT Q5152 used?

Used for atypical hemolytic uremic syndrome and paroxysmal nocturnal hemoglobinuria management. Blocks complement component 5 activation and administration is intravenous.

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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.