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Updated July 1st, 2026

PYZCHIVA Q Code: Q9997

Injection, ustekinumab-ttwe (pyzchiva), intravenous, 1 mg

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Q4 2026 Medicare Payment Limit for Q9997, effective October 1, 2026: $8.591 per HCPCS billing unit, up 0.5% from $8.552. From CMS's final file.

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Medicare Payment Limit ?
$8.552
/ HCPCS billing unit · Q3 2026
APC Payment Limit ?
$8.552
/ HCPCS billing unit · APC 0914
ASP ?
$•••.••
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WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
2
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Drug & Product Overview

HCPCS Descriptor Injection, ustekinumab-ttwe (pyzchiva), intravenous, 1 mg
HCPCS Added Date January 1, 2025
Manufacturer Quallent Pharmaceuticals
Route of Administration Intravenous
Generic Status Single-Source; Branded
Dosage Type Single-Dose
Dosage Form Injection, Solution

About PYZCHIVA

Pyzchiva is a medication aligned to the HCPCS Q Code: Q9997 for billing, pricing, and reimbursement purposes in the United States. Classified under Immunology, it is administered via the intravenous route and manufactured by Quallent Pharmaceuticals.

Manufacturers, reach out to us to add more information.

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
61314-0654-94 Pyzchiva SANDOZ INC 130 130 MG / 26 ML
82009-0163-94 Ustekinumab-Ttwe Quallent Pharmaceuticals Health LLC 130 130 MG / 26 ML
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PYZCHIVA Pricing & Reimbursement

Q9997 Private Payer Reimbursement
$8.37 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

Create an account on PayerPrice for more information →
UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

Historical Graphing and Billing Calculator

per HCPCS unit
As of Q3 2026

Ustekinumab Biosimilar Information:

PYZCHIVA Approval Date: June 28, 2024

Product Name HCPCS Code Active Ingredient BLA Type
Stelara J3358 Ustekinumab 351(a) Originator Product
Wezlana Q5137 Ustekinumab 351(k) Interchangeable
Wezlana Q5138 Ustekinumab 351(k) Interchangeable
Selarsdi Q9998 Ustekinumab 351(k) Interchangeable
Pyzchiva Q9996 Ustekinumab 351(k) Interchangeable
Pyzchiva Q9997 Ustekinumab 351(k) Interchangeable
Otulfi Q9999 Ustekinumab 351(k) Interchangeable
Imuldosa Q5098 Ustekinumab 351(k) Interchangeable
Yesintek Q5100 Ustekinumab 351(k) Interchangeable
Steqeyma Q5099 Ustekinumab 351(k) Interchangeable
Starjemza Q5164 Ustekinumab 351(k) Interchangeable

PYZCHIVA 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
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure)
Not on the CMS JW / JZ list

This product is new and does not yet appear on the CMS list of HCPCS pertaining to single-dose containers. Wastage billing guide →

PYZCHIVA Medically Unlikely Edits (MUE)

The most billing units of Q9997 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 mg.

Practitioner Office & Hospital Outpatient
520 units / day
= 520 mg per day

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 →

mg Enter a dose to see how many billing units it is and whether it is under the limit.

PYZCHIVA Clinical Information

Indications and drug classification.

Treated Diseases & Conditions

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.

Crohn's Disease Plaque Psoriasis Psoriatic Arthritis Ulcerative Colitis
Drug Class
Interleukin-12 Antagonist [EPC]Interleukin-12 Antagonists [MoA]Interleukin-23 Antagonist [EPC]Interleukin-23 Antagonists [MoA]

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Frequently Asked Questions

Is there an available PYZCHIVA billing and coding guide?
Our team has not identified a manufacturer-published source of billing and coding information for PYZCHIVA.
What are the available PYZCHIVA patient assistance programs?
PYZCHIVA patient assistance information can be found through Sandoz. Visit Here →
Where can I find PYZCHIVA prescribing information?
PYZCHIVA prescribing information can be found at the link below. Visit Here →
Where can I find PYZCHIVA side effect information?
Our team has not identified a source of side effect information for PYZCHIVA
Does billing PYZCHIVA require JZ/JW wastage modifiers?
CMS does not include PYZCHIVA (Q9997) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing Q9997. For more information, visit the link below.

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Related Drug Codes

Explore billing, coding, and pricing for drugs related to PYZCHIVA.

Q9996PYZCHIVAInjection, ustekinumab-ttwe (pyzchiva), subcutaneous, 1 mgCordavis LimitedAdded January 1, 2025J3358STELARAUstekinumab, for intravenous injection, 1 mgJanssenAdded January 1, 2018Q5098IMULDOSAInjection, ustekinumab-srlf (imuldosa), biosimilar, 1 mgAccordAdded July 1, 2025Q5099STEQEYMAInjection, ustekinumab-stba (steqeyma), biosimilar, 1 mgCelltrion USAAdded July 1, 2025Q5100YESINTEKInjection, ustekinumab-kfce (yesintek), biosimilar, 1 mgBiocon Biologics IncAdded July 1, 2025Q5137WezlanaInjection, ustekinumab-auub (wezlana), biosimilar, subcutaneous, 1 mgNuvailaAdded July 1, 2024Q5164StarjemzaInjection, ustekinumab-hmny (starjemza), biosimilar, 1 mgHikmaAdded July 1, 2026J3357STELARAUstekinumab, for subcutaneous injection, 1 mgJanssenAdded January 1, 2011J0139HUMIRAInjection, adalimumab, 1 mgAbbvieAdded January 1, 2025J0717CIMZIAInjection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)UCB PharmaAdded January 1, 2014