J0801 Injection. acthar gel to 40 units
Also known as: ACTH gel, Acthar, corticotropin
Adrenocorticotropic hormone (Acthar) injection supplied up to 40 units, a corticotropin for treating adrenal insufficiency and inflammatory conditions.
In Plain Language
Hormone that stimulates natural steroid production
Clinical Context
Used for replacement therapy in adrenal insufficiency and as immunosuppressive therapy for inflammatory conditions such as infantile spasms and nephrotic syndrome.
RVU Information
CPT J0801 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 J0801?
CPT J0801 (Injection. acthar gel to 40 units) is a J Codes (Drugs) code. Adrenocorticotropic hormone (Acthar) injection supplied up to 40 units, a corticotropin for treating adrenal insufficiency and inflammatory conditions.
How is J0801 administered?
CPT J0801 is administered by a healthcare provider, typically via injection or infusion. Used for replacement therapy in adrenal insufficiency and as immunosuppressive therapy for inflammatory conditions such as infantile spasms and nephrotic syndrome. It is used by Endocrinology, Neurology, Internal Medicine.
When is CPT J0801 used?
Used for replacement therapy in adrenal insufficiency and as immunosuppressive therapy for inflammatory conditions such as infantile spasms and nephrotic syndrome.
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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.