J1438 Injection, etanercept, 25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)
Short descriptor: Etanercept injection
Look up J1438 alongside ICD-10-CM diagnoses, the HCPCS Table of Drugs, and the AI coding assistant.
J1438 is the HCPCS Level II code for Injection, etanercept, 25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) (2026). It belongs to Section J — Drugs Administered Other Than Oral Method. Under Medicare, its coverage status is: Special coverage instructions apply. Part B pricing methodology: Drugs.
Classification & CMS Attributes
- Medicare Coverage
- Special coverage instructions apply (code D)
- Part B Pricing
- Drugs (indicator 51)
- Type of Service
- Medical care
- Effective Date
- 2000-01-01
- 2026 Maintenance
- No change this year
Drug Details
- Drug / Substance
- etanercept
- Dose / Unit
- 25 mg
- Route
- Injection
See the full HCPCS Table of Drugs (J-codes).
References
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Reference J1438 with the canonical source and edition:
J1438 — Injection, etanercept, 25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered). ICD-10 Coding Pro (HCPCS Level II 2026). https://icd10codingpro.com/hcpcs-codes/J1438
Canonical URL: https://icd10codingpro.com/hcpcs-codes/J1438