HCPCS Q5136
Injection, denosumab-bbdz (biosimilar), 1 mg
Last reviewed August 2026 · DataLily AI data team
What does HCPCS Q5136 mean?
HCPCS Q5136 reports an injection of denosumab-bbdz, a biosimilar to denosumab, billed per 1 mg. Q-codes in this family identify specific biosimilar products so claims distinguish them from the reference biologic.
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HCPCS Q5136 at a glance
- Code
- Q5136
- Code type
- CPT/HCPCS
- Short descriptor
- Inj. denosumab-bbdz, 1 mg
- Category
- ASC Ancillary
- ASC eligibility
- ASC-eligible (ancillary)
- Typical setting
- Ambulatory surgery center (POS 24) or hospital outpatient department (POS 22).
- Medicare ASC rate
- $27.91 national · 2026Q2
What is HCPCS code Q5136?
HCPCS Q5136 reports an injection of denosumab-bbdz, a biosimilar to denosumab, billed per 1 mg. Q-codes in this family identify specific biosimilar products so claims distinguish them from the reference biologic. Its official short descriptor is "Inj. denosumab-bbdz, 1 mg", and in the ASC context it is grouped under ASC Ancillary.
Is HCPCS Q5136 eligible in an ambulatory surgery center (ASC)?
HCPCS Q5136 is an ancillary service that can be provided in the ASC setting when it supports a surgical procedure.
Where is HCPCS Q5136 typically performed?
Ambulatory surgery center (POS 24) or hospital outpatient department (POS 22).
What is the Medicare ASC payment rate for HCPCS Q5136?
The national Medicare ASC payment rate for HCPCS Q5136 is $27.91 (Medicare ASC Payment System, 2026Q2). This is the national, unadjusted Medicare amount; the amount an individual ambulatory surgery center is paid is adjusted for local wage index and may differ. It reflects Medicare's facility payment only and does not include the surgeon's professional fee.
Reference information about ASC eligibility and typical procedure setting. Codes, descriptors, and ASC-eligibility status change over time. This is a coding reference, not billing, coding, or legal advice. Always verify against current guidance and individual payer policy before scheduling or billing. CPT is a registered trademark of the American Medical Association. Read the DataLily AI data methodology.