Table of content for "Methotrexate sodium inj" (HCPCS J9250)
General information on the “J9250” code
HCPCS Code: J9250
Long Description: Methotrexate sodium, 5 mg
Short Description: Methotrexate sodium inj
Original information is taken from J9250 page
Pricing indicators
Pricing Indicator Code 1: 51 – Drugs
Multiple Pricing Indicator Code A : Not applicable as HCPCS priced under one methodology
Certification and additional reference information
Coverage
Coverage: D – Special coverage instructions apply
Type of service
Berenson-Eggers Type of Service (BETOS): O1D – Chemotherapy
Type Of Service 1: 1 – Medical care
Type Of Service 2: P – Lump sum purchase of DME, prosthetics, orthotics
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 19940101
Code Effective Date: 20240401
Termination Date: 20240331
Action Code: N – No maintenance for this code