If a patient has rheumatoid arthritis and comes in for a methotrexate injection, do we use the chemotherapy injection code?
Yes, if we look at the guidelines for chemotherapy administration in the CPT book they specifically reference that for some drugs we will utilize that series of CPT codes for the administration and treatment of non-cancer diagnoses. It is dependent upon the drug and the qualification of that highly-complex drug or that it is defined as an anti-neoplastic. So, for this question, yes, the methotrexate is going to be coded with a chemotherapy injection code.
This question was answered in our Coding Essentials for Infusion & Injection Therapy Services. For more hot topics relating to infusion services, please visit our store or call us at 1.800.252.1578, ext. 2.
CPT® copyright 2024 American Medical Association (AMA). All rights reserved.
Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
CPT is a registered trademark of the American Medical Association.
Copyright © 2025 ICD10monitor. Powered by MedLearn Media.
CYBER WEEK IS HERE! Don’t miss your chance to get 20% off now until Dec. 2 with code CYBER24