{
    "code": "Q5113",
    "coding_system": "HCPCS",
    "canonical_url": "https://localishealth.com/hcpcs/Q5113/2019/C",
    "release_specific_url": "https://localishealth.com/hcpcs/Q5113/2026/D",
    "description": "Inj herzuma 10 mg",
    "answer": {
        "question": "What PFS status did CMS publish for HCPCS Q5113 in Q4 2026?",
        "text": "CMS published status E (excluded) for HCPCS Q5113 in the Q4 2026 Physician Fee Schedule, with no national PFS amount. These figures take effect for dates of service beginning Oct 1, 2026. Treat the blank amount as unpriced, not as $0."
    },
    "release": {
        "schedule": "pfs",
        "year": 2026,
        "quarter": "D",
        "label": "Q4 2026",
        "effective": "October 1 – December 31, 2026",
        "revision": 2
    },
    "status": {
        "code": "E",
        "non_facility_payable": false,
        "facility_payable": false
    },
    "national_rates_usd": {
        "office_non_facility": null,
        "facility": null,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": null,
        "practice_expense_non_facility": null,
        "practice_expense_facility": null,
        "malpractice": null
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 33.4009,
    "ncci": {
        "release": "Q4 2026",
        "never_billable_pair_count": 0,
        "modifier_allowed_pair_count": 0,
        "mue_units_per_date_of_service": null,
        "url": "https://localishealth.com/hcpcs/Q5113/2026/D/ncci-edits",
        "complete_text_url": "https://localishealth.com/hcpcs/Q5113/2026/D/ncci-edits.txt"
    },
    "source": {
        "label": "Physician relative value file (Q4 2026)",
        "cms_url": "https://www.cms.gov/files/zip/rvu26d-updated-08-26-2026.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2026/D",
        "file": "PPRRVU2026_Oct_nonQPP.csv",
        "row": 18547,
        "sha256": "4d0d3f19bd954ffc0f5b8439169d267da023d4f6911f4539bb6e98723cb1a626"
    },
    "modified_at": "2026-09-01T06:33:29+00:00"
}