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Try CasePilot| Short Descr | Adalimumab injection | Related Drugs | Humira | Coverage | Carrier Priced | Pricing Indicator(s) | 51 – Drugs | MPI | A – Not applicable, as HCPCS priced under one methodology | BETOS | O1E – Other drugs | TOS Code(s) | 1 – Medical care | Added Date | 1/1/2005 | Action Code | D – Discontinue procedure or modifier code (effective 1/1/2025) | Termination Date | 12/31/2024 | Status Code | Excluded from Physician Fee Schedule by Regulation | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 9 - Not Applicable | Multiple Procedures (51) | 9 - Concept does not apply. | Bilateral Surgery (50) | 9 - Concept does not apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 9 - Concept does not apply. | Co-Surgeons (62) | 9 - Concept does not apply. | Team Surgery (66) | 9 - Concept does not apply. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Nonpass-Through Drugs and Nonimplantable Biologicals, Including Therapeutic Radiopharmaceuticals | MUE | Not applicable/unspecified. | MUE | Not applicable/unspecified. | IOM | 100-02, 15, 50 | OTS Orthotic | No | CCS Clinical Classification | 240 - Medications (Injections, infusions and other forms) |
| GY | Item or service statutorily excluded, does not meet the definition of any medicare benefit or, for non-medicare insurers, is not a contract benefit | JZ | Zero drug amount discarded/not administered to any patient | AQ | Physician providing a service in an unlisted health professional shortage area (hpsa) | GZ | Item or service expected to be denied as not reasonable and necessary | JA | Administered intravenously | JB | Administered subcutaneously | KX | Requirements specified in the medical policy have been met |
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| 2026-01-01 | Deleted | First appearance of deletion in codebook. |
| 2024-12-31 | Deleted | Code deleted, see J0139 |
| 2005-01-01 | Added | Code added 1/1/2005 |
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