Proposed LCD DL34356: Erythropoiesis Stimulating Agents (ESA) — CGS
Oncology
Government source· CMS / MACverify ↗HCPCS Level II code
Q5105 — Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units
HCPCS Level IIVerified Sep 5, 2026
Medicare payment
—
No national Medicare fee schedule we hold prices Q5105 — the Physician Fee Schedule lists it with status indicator E (2026 file). CMS fee schedules ↗
Code definition
Code
Q5105
Code system
HCPCS Level II
Full description
Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units
Policy activity for HCPCS Q5105
CLV Intelligence is tracking 4 policy changes that cite HCPCS Q5105 most recently on 2026-06-05, drawn from 2 LCD/NCD coverage updates and 2 proposed LCDs. The changes span ESRD, Hematology and Oncology. 2 are flagged critical or high priority.
- LCD/NCD coverage updates
- 2
- proposed LCDs
- 2
Counts reflect the source documents CLV has matched to HCPCS Q5105 to date; each links to the government publication that is authoritative. Monitored daily from CMS, the Federal Register, and Medicare Administrative Contractor publications.
Recent policy changes matched to Q5105
Matched to this code by CLV analysis of each policy. The linked source document is authoritative.
Search Q5105 across all alerts
Full history of CMS and MAC policy changes matched to this code.
Audit documentation
Building an audit file that includes HCPCS Q5105?
The Tripwire Audit Pack exports 12 months of single-specialty policy-change history — every alert with a link to its government source document, as a formatted PDF for compliance distribution plus a machine-readable CSV. Delivered automatically after payment. No account, no call.
See audit packs — $349One-time purchase · not a subscription
Get alerts when policy changes affect Q5105
Free weekly digest — no subscription required.
Get the free 90-day policy snapshot for your specialty
Free — no account required
See what CLV monitors for your specialty
Get a free 90-day sample snapshot — a PDF of every CMS and MAC policy change we tracked for your specialty and jurisdiction in the last quarter. Delivered instantly.
90-day windowPDF sample reportInstant download
By downloading, you agree to receive related policy update emails. You can unsubscribe at any time. Privacy policy