Home › Drug Codes › Q Codes › Q5138 · Wezlana
Updated July 1st, 2026

Wezlana Q Code: Q5138

Injection, ustekinumab-auub (wezlana), biosimilar, intravenous, 1 mg

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Q4 2026 Medicare Payment Limit for Q5138, effective October 1, 2026: $2.273 per HCPCS billing unit, down 3.4% from $2.354. From CMS's final file.

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Medicare Payment Limit ?
$2.354
/ HCPCS billing unit · Q3 2026
APC Payment Limit ?
$2.354
/ HCPCS billing unit · APC 0912
ASP ?
$•••.••
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WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
1
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Drug & Product Overview

HCPCS Descriptor Injection, ustekinumab-auub (wezlana), biosimilar, intravenous, 1 mg
HCPCS Added Date July 1, 2024
Manufacturer Nuvaila
Route of Administration Intravenous
Generic Status Single-Source; Branded
Dosage Type Single-Dose
Dosage Form Injection, Solution

About Wezlana

Wezlana is a medication aligned to the HCPCS Q Code: Q5138 for billing, pricing, and reimbursement purposes in the United States. This Oncology medication is administered via the intravenous route and manufactured by Nuvaila.

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
84612-0066-01 Wezlana Nuvaila Limited 130 130 MG / 26 ML
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Wezlana Pricing & Reimbursement

Q5138 Private Payer Reimbursement
$11.48 / 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:

Wezlana Approval Date: October 31, 2023

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

Wezlana 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 →

Wezlana Medically Unlikely Edits (MUE)

The most billing units of Q5138 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.

Wezlana 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 Wezlana billing and coding guide?
Our team did not identify patient assistance information for Wezlana
Are there any available Wezlana patient assistance programs?
Our team did not identify patient assistance information for Wezlana
Where can I find Wezlana prescribing information?
Wezlana prescribing information can be found at the link below:
Where can I find Wezlana side effect information?
Our team did not identify a source of side effect information for Wezlana.
Does billing Wezlana require JZ/JW wastage modifiers?
CMS does not include Wezlana (Q5138) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing Q5138. For more information, visit the link below.

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