In short

Carvykti is billed under HCPCS Q2056. One billing unit is up to 100 million autologous b-cell maturation antigen (bcma) directed car-positive t cells. CMS's crosswalk lists 2 Carvykti NDCs under this code.

Q2056 code details

Reference

Q2056
HCPCS Level II drug codeBilling unit: up to 100 million autologous b-cell maturation antigen (bcma) directed car-positive t cells
Labelers
Janssen Biotech, Inc.

Medicare Part B payment limit

CMS ASP file
Payment limit per unit$594,112.255
Perup to 100 million autologous b-cell maturation antigen (bcma) directed car-positive t cells
Coinsurance18.651%

Effective October 1, 2026 through December 31, 2026. Payment allowance limits subject to the ASP methodology are based on 2Q26 ASP data. CMS note: Inflation-adjusted coinsurance. A payment limit is not a coverage decision; the Medicare contractor decides coverage. CMS ASP pricing files

Carvykti units and claim line

Enter the dose given to get the Q2056 units and the NDC line for the CMS-1500 and the 837P.

Enter the units to build the claim line.

Carvykti NDCs and billing units

From CMS’s ASP NDC–HCPCS crosswalk, effective October 1, 2026 through December 31, 2026. Billing units per package are CMS’s figures for the code’s unit.

Carvykti NDCs in the CMS ASP crosswalk
NDC (11-digit)HCPCSLabelerPackageBilling units per package
57894-0111-01Q2056Janssen Biotech, Inc.11
57894-0111-02Q2056Janssen Biotech, Inc.11

Carvykti: common questions

What is the HCPCS code for Carvykti?
Carvykti is billed under HCPCS Q2056. One billing unit is up to 100 million autologous b-cell maturation antigen (bcma) directed car-positive t cells. CMS's crosswalk lists 2 Carvykti NDCs under this code.
How many Q2056 billing units are in a package of Carvykti?
CMS lists 1 billing units per package, depending on the NDC, where one unit is up to 100 million autologous b-cell maturation antigen (bcma) directed car-positive t cells. Units to report are based on the dose given, not the package.
Is Q2056 a CPT code?
No. Q2056 is a HCPCS Level II code from CMS for the drug itself. Giving it, for example by injection or infusion, is usually reported with a separate CPT administration code.

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