Q5109 HCPCS Level II code: Injection, infliximab-qbtx, biosimilar, (ixifi), 10 mg
CMS terminated Q5109: its last date of service was Dec 31, 2025. It stays here for looking up older claims; newer services need a current code.
Official description
Q5109Injection, infliximab-qbtx, biosimilar, (ixifi), 10 mg
Short description: Injection, ixifi, 10 mg
HCPCS · United States
Notes for Q5109
As CMS prints them, with any note Q5109 takes from the headings above it.
Note
- CMS processing note 0187: PUB. 100-4, CHAPTER 17.
Medicare details
The indicators CMS publishes with Q5109 in its October 2026 file. They describe Medicare’s handling, not another payer’s.
- Medicare coverage
- Special coverage instructions apply
- Medicare pricing
- Drugs
- Type of service
- Medical care; Lump sum purchase of DME, prosthetics, orthotics
- BETOS category
- Other drugs
- Added
- Jan 1, 2019
- Terminated after
- Dec 31, 2025
Where Q5109 sits
- 1Q codesTemporary codes
- 2Terminated Q5109Injection, infliximab-qbtx, biosimilar, (ixifi), 10 mg
Source and release
- Data release
- HCPCS Level II · October 2026
- Effective date
- Oct 1, 2026
- Publisher
- CMS
This page is built from the HCPCS Level II catalog that Vero Codes reads when it suggests codes: Centers for Medicare & Medicaid Services’s October 2026 release, imported from the publisher’s file and checked against it. The description, notes and structured data come from the same record.
Frequently asked questions
Is HCPCS code Q5109 still valid?
No. CMS terminated Q5109; its last date of service was Dec 31, 2025. It is listed for looking up services from before then. Use a current code for newer services.
Does Medicare cover Q5109?
CMS lists Q5109’s Medicare coverage as “Special coverage instructions apply” and its pricing as “Drugs”. Coverage and payment still depend on the patient, the setting, the documentation and the payer.
Which HCPCS Level II release does this page use?
It uses CMS’s October 2026 release, in effect from Oct 1, 2026 to Dec 31, 2026. It is a reference: confirm the code against the current list and the payer’s rules before you submit it.
Codes beside Q5109
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