HCPCS code J8612 — Oral methotrexate (xatmep). Status: Active. Effective Jul 1, 2024. Source: CMS HCPCS Level II.

J8612

Active

Oral methotrexate (xatmep)

Methotrexate (xatmep), oral, 2.5 mg

Category: Drugs
Section: J-codes: Drugs Administered Other Than Oral Method
Effective: Jul 1, 2024
Code type: alphanumeric
OPPS Status: K — Non-pass-through drugs and biologicals
OPPS APC: 0756

MUE — Medically Unlikely Edits

Maximum units of J8612 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 36

Source: CMS Medicare NCCI Medically Unlikely Edits

NDC Crosswalk

National Drug Codes (NDCs) mapped to this HCPCS code.

NDC Drug Name
52652-2001-01 Xatmep
52652-2001-06 Xatmep

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 2024-Q3
    Oral methotrexate (xatmep)