KANJINTI Q Code: Q5117
Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg
Q4 2026 Medicare Payment Limit for Q5117, effective October 1, 2026: $63.871 per HCPCS billing unit, up 5.5% from $60.522. From CMS's final file.
Drug & Product Overview
About KANJINTI
Kanjinti is a medication aligned to the HCPCS Q Code: Q5117 for billing, pricing, and reimbursement purposes in the United States. This Oncology medication is administered via the intravenous route and manufactured by Amgen.
According to CMS Drug Use Information: Trastuzumab is used to treat certain types of breast, stomach, or esophagus cancer. Trastuzumab belongs to a class of medications known as monoclonal antibodies. It works by slowing or stopping the growth of cancer cells. This monograph is about the following trastuzumab products: trastuzumab, trastuzumab-anns, trastuzumab-dkst, trastuzumab-dttb, trastuzumab-pkrb, trastuzumab-qyyp, trastuzumab-strf.
Disclaimer: This is a summary and does not contain all possible information about this product. For complete information about this product or your specific health needs, ask your healthcare professional.
NDC Code Information
Based on publicly available CMS files. The list of NDCs below is not exhaustive.
| NDC Code | Drug | Manufacturer | Billing Units / Pkg | Package Size |
|---|---|---|---|---|
| 55513-0132-01 | Kanjinti | Amgen, Inc | 42 | 420 MG / 20 ML |
| 55513-0132-21 | Kanjinti | Amgen, Inc | 42 | 420 MG / 20 ML |
| 55513-0141-01 | Kanjinti | Amgen, Inc | 15 | 150 MG / 7.15 ML |
| 55513-0141-21 | Kanjinti | Amgen, Inc | 15 | 150 MG / 7.15 ML |
| 55513-0164-01 | Kanjinti (Kit) | Amgen Inc | 42 | 420 MG |
KANJINTI Pricing & Reimbursement
National median reimbursement across major commercial payers.
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Login to use the calculator →Trastuzumab Biosimilar Information:
KANJINTI Approval Date: June 13, 2019
| Product Name | HCPCS Code | Active Ingredient | BLA Type |
|---|---|---|---|
| Herceptin | J9355 | Trastuzumab | 351(a) Originator Product |
| Ogivri | Q5114 | Trastuzumab | 351(k) Biosimilar |
| Herzuma | Q5113 | Trastuzumab | 351(k) Biosimilar |
| Ontruzant | Q5112 | Trastuzumab | 351(k) Biosimilar |
| Trazimera | Q5116 | Trastuzumab | 351(k) Biosimilar |
| Kanjinti | Q5117 | Trastuzumab | 351(k) Biosimilar |
| Hercessi | Q5146 | Trastuzumab | 351(k) Biosimilar |
KANJINTI Claims Performance
Real-world claims performance from FocalPoint, OnPoint Oncology's reimbursement analytics platform, with claims data accrued at the clearing house level.
Explore Q5117 claims analytics on FocalPoint →
KANJINTI CPT Administration Codes
The below list of CPT codes is intended for informational purposes only and may not be exhaustive. CPT® codes and descriptions are copyright American Medical Association (AMA). All rights reserved.
| CPT Code | Description |
|---|---|
| 96413 | Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug |
| 96415 | Chemotherapy administration, intravenous infusion technique; each additional hour (List separately in addition to code for primary procedure) |
CMS does not include Kanjinti (Q5117) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing Q5117. Wastage billing guide →
KANJINTI Medically Unlikely Edits (MUE)
The most billing units of Q5117 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 10 mg.
MAI 3 · Date of Service Edit: Clinical. Per-day limit based on clinical expectations; excess units are denied but may be appealed with documentation of medical necessity. See all MUE limits →
KANJINTI Clinical Information
Indications and drug classification.
This list of indications is not exhaustive and may be subject to errors. The information on BuyandBill.com is intended for informational purposes only and should not be used for medical advice.
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Frequently Asked Questions
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Are there any available Kanjinti patient assistance programs?
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Does billing KANJINTI require JZ/JW wastage modifiers?
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