HCPCS code J9260 — Inj methotrexate sodium 50mg.
Status: Active.
Effective Apr 1, 2024.
Source: CMS HCPCS Level II.
J9260
ActiveInj methotrexate sodium 50mg
Injection, methotrexate sodium, 50 mg
Category:
Drugs
Section:
J-codes: Drugs Administered Other Than Oral Method
Effective:
Apr 1, 2024
Code type:
alphanumeric
OPPS Status:
N
— Items / services packaged into APC rates
MUE — Medically Unlikely Edits
Maximum units of J9260 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 | 400 |
| Outpatient Hospital | 400 |
| Practitioner Services | 400 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NDC Crosswalk
National Drug Codes (NDCs) mapped to this HCPCS code.
| NDC | Drug Name |
|---|---|
| 00143-9367-01 | Methotrexate Sodium |
| 00143-9519-10 | Methotrexate Sodium |
| 00143-9830-01 | Methotrexate Sodium |
| 00703-3671-01 | Methotrexate Sodium |
| 00703-3675-01 | Methotrexate Sodium |
| 00703-3678-01 | Methotrexate Sodium |
| 00703-3678-81 | Methotrexate Sodium |
| 16729-0277-30 | Methotrexate Sodium |
| 16729-0277-35 | Methotrexate Sodium |
| 61703-0124-40 | Methotrexate Sodium |
| 61703-0161-05 | Methotrexate Sodium |
| 61703-0350-10 | Methotrexate Sodium |
| 61703-0350-38 | Methotrexate Sodium |
| 61703-0408-25 | Methotrexate Sodium |
| 61703-0408-41 | Methotrexate Sodium |
| 63323-0122-50 | Methotrexate Sodium |
| 63323-0123-10 | Methotrexate Sodium |
Change History
Quarterly changes published by CMS. Revisions may affect the code description, coverage, or rate — review each quarter's changes before submitting claims.