Q5164 – Injection, ustekinumab-hmny (starjemza), biosimilar, 1 mg

HCPCS Level II code · Q codes: Temporary Codes

Active code Carrier judgment

HCPCS codeQ5164
Long description
Injection, ustekinumab-hmny (starjemza), biosimilar, 1 mg
Short description
Ustekinumab-hmny, 1 mg
Pricing indicator
51 Drugs
Medicare coverage
C Carrier judgment – coverage decided by the Medicare contractor
BETOS category
O1E Other drugs
ASC
Approved for ambulatory surgical centers
Added
July 1, 2026
Last change
July 1, 2026 – No change

Frequently asked questions

What is HCPCS code Q5164?

Q5164 is a HCPCS Level II code for injection, ustekinumab-hmny (starjemza), biosimilar, 1 mg.

Does Medicare cover Q5164?

The HCPCS file lists coverage code C: Carrier judgment – coverage decided by the Medicare contractor. Coverage and payment also depend on local coverage determinations and the patient’s plan.

Nearby Q codes

Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.