J8610 HCPCS - METHOTREXATE; ORAL, 2.5 MG

Code Information

Berenson-Eggers Type Of Service Code: O1D - Chemotherapy
Type Of Service Code:
- 1 - Whole blood only eff 01/96, whole blood or packed red cells before 01/96
- G - Immunosuppressive drugs
- P - Lump sum purchase of DME, prosthetics, orthotics

Pricing Indicator Code:
- 51 - Drugs
Multiple Pricing Indicator Code: A - Not applicable as HCPCS priced under one methodology
Coverage Issues Manual Reference Section Number:
N/A
Medicare Carriers Manual Reference Section Number:
- 2049.5
Coverage Code: D - Special coverage instructions apply

Field Name	Field Value
Healthcare Common Procedure Coding System Code	J8610
HCPCS Sequence Number	0010
HCPCS Record Identification Code	3 - First line of procedure record also contains detail information in positions 92-275
HCPCS Long Description	Methotrexate; oral, 2.5 mg
HCPCS Short Description	Methotrexate oral 2.5 mg
HCPCS Pricing Indicator Code 1	51 - Drugs
HCPCS Multiple Pricing Indicator Code	A - Not applicable as HCPCS priced under one methodology
HCPCS Medicare Carriers Manual Reference Section Number 1	2049.5
HCPCS Coverage Code	D - Special coverage instructions apply
HCPCS Berenson-Eggers Type Of Service Code	O1D - Chemotherapy
HCPCS Type Of Service Code 1	1 - Whole blood only eff 01/96, whole blood or packed red cells before 01/96
HCPCS Type Of Service Code 2	G - Immunosuppressive drugs
HCPCS Type Of Service Code 3	P - Lump sum purchase of DME, prosthetics, orthotics
HCPCS Anesthesia Base Unit Quantity	0
HCPCS Code Added Date	1/1/1995
HCPCS Action Effective Date	8/31/1997
HCPCS Action Code	N - No maintenance for this code