HCPCS code J0139 — Inj, adalimumab, 1 mg. Status: Active. Effective Jan 1, 2025. Source: CMS HCPCS Level II.

J0139

Active

Inj, adalimumab, 1 mg

Injection, adalimumab, 1 mg

Category: Drugs
Section: J-codes: Drugs Administered Other Than Oral Method
Effective: Jan 1, 2025
Code type: alphanumeric
OPPS Status: E1 — Items / services not paid by Medicare

MUE — Medically Unlikely Edits

Maximum units of J0139 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.

Service Type Max Units / Day
DME Supplier 160
Outpatient Hospital 160
Practitioner Services 160

Source: CMS Medicare NCCI Medically Unlikely Edits

Change History

Quarterly changes published by CMS. Revisions may affect the code description, coverage, or rate — review each quarter's changes before submitting claims.

  • New Code 2025-Q1
    Inj, adalimumab, 1 mg