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MTX j-code

Nathan Posted Fri 26th of June, 2020 16:30:00 PM
What is the J-code (is there a j code??) for intralesional injection of methotrexate for cutaneous carcinoma; >7 lesions. Thank you
SuperCoder Answered Mon 29th of June, 2020 06:32:14 AM

Thank you for Question!



There are two J codes that are applicable for methotrexate as injection J9250 (Methotrexate sodium, 5 mg) and J9260 (Methotrexate sodium, 50 mg). These drugs can be administered via IV, IM, SC, IT, IA as intravenous, which is an injection, or instillation of liquid, through a needle into a vein; intramuscular, which is an injection into muscle; subcutaneous, which is an injection under the skin; and intraarterial, which is an injection into an artery. Kindly choose from J9250 or J9260 as per the dose administered & documented in the medical record.


Note: J code represents the code for the drug only. Hence, report separately the drug administration code along with drug code.


Hope that Helps!

Nathan Posted Tue 07th of July, 2020 18:54:26 PM
I submitted J9260 with administration code 96405. Medicare denied it stating it is the wrong administration code. I intralesionally injected 8 malignant squamous cell carcinoma leg lesions with the MTX 50mg dose vial. What administration code do you recommend?
SuperCoder Answered Wed 08th of July, 2020 04:57:46 AM
Thank you for your Question nbsp nbsp Effective claims for a chemotherapy administration codes - and require an associated drug Correspondingly a chemotherapy drug requires a chemotherapy administration code to be billed As per CMS CPT codes amp can be used for administration of J Methotrexate mg As per the...

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