Code

CMS HCPCS file
HCPCS codeJ9250
Billing unit5 mg
Descriptor
Methotrexate sodium, 5 mg
Short descriptor
Methotrexate sodium inj
Code set
HCPCS Level II, maintained by CMS
Effective
Apr 1, 2024

The billing unit is read from the descriptor. Confirm it against the CMS file before billing.

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J9250: common questions

Is J9250 a CPT code?
No. J9250 is a HCPCS Level II code, maintained by CMS, that identifies the drug supplied. CPT codes are five-digit numbers from the AMA that describe services. Giving the drug, for example an injection or infusion, is usually reported with a separate CPT administration code. CPT codes for drug administration.
What is one billing unit of J9250?
One unit of J9250 is 5 mg, as stated in the code's descriptor. Units to report = dose given ÷ 5 mg. J-code billing units.

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