J0717 Certolizumab pegol injection 1mg
Also known as: certolizumab pegol, Cimzia, TNF-alpha antagonist
Certolizumab pegol injection, 1 milligram, a TNF-alpha antagonist monoclonal antibody fragment for treatment of inflammatory diseases.
In Plain Language
inflammation blocker injection; rheumatoid arthritis and inflammatory disease treatment
Clinical Context
Pegylated TNF-alpha antagonist monoclonal antibody fragment for treatment of rheumatoid arthritis, Crohn disease, and other inflammatory conditions. Can be used during pregnancy.
RVU Information
CPT J0717 does not have a physician work RVU assigned by CMS. This is typical for supply, drug, and equipment codes — reimbursement is based on Average Sales Price (ASP), fee schedules, or payer contracts rather than the RVU system.
Billing & Documentation
J-codes represent drugs administered by a healthcare provider (not self-administered). Documentation must include the drug name, dosage, route of administration, and medical necessity. Most payers require the National Drug Code (NDC) on the claim. Bill the appropriate administration code (96365-96379) in addition to the drug code.
Specialties
Frequently Asked Questions
What is CPT code J0717?
CPT J0717 (Certolizumab pegol injection 1mg) is a J Codes (Drugs) code. Certolizumab pegol injection, 1 milligram, a TNF-alpha antagonist monoclonal antibody fragment for treatment of inflammatory diseases.
How is J0717 administered?
CPT J0717 is administered by a healthcare provider, typically via injection or infusion. Pegylated TNF-alpha antagonist monoclonal antibody fragment for treatment of rheumatoid arthritis, Crohn disease, and other inflammatory conditions. Can be used during pregnancy. It is used by rheumatology, gastroenterology, immunology.
When is CPT J0717 used?
Pegylated TNF-alpha antagonist monoclonal antibody fragment for treatment of rheumatoid arthritis, Crohn disease, and other inflammatory conditions. Can be used during pregnancy.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.