M0237 Intrav inferior, toci, first dose
Also known as: toci infusion, first tocilizumab dose
Intravenous infusion of tocilizumab, first dose. Tocilizumab is an interleukin-6 receptor antagonist used primarily for rheumatoid arthritis and inflammatory conditions.
In Plain Language
Antibody infusion therapy; First immune-modulating drug injection
Clinical Context
Used in rheumatoid arthritis, giant cell arteritis, and polyarticular juvenile idiopathic arthritis when first administered intravenously. Represents the initial dose of this biologic therapy.
RVU Information
CPT M0237 does not have a physician work RVU assigned by CMS. Reimbursement for this code is determined by payer-specific fee schedules.
Billing & Documentation
M-codes cover quality measures and performance reporting. They are used in value-based care programs to track whether specific clinical actions were taken. Documentation must support that the measured action was performed or a valid exclusion applies.
Specialties
Frequently Asked Questions
What is CPT code M0237?
CPT M0237 (Intrav inferior, toci, first dose) is a M Codes code. Intravenous infusion of tocilizumab, first dose. Tocilizumab is an interleukin-6 receptor antagonist used primarily for rheumatoid arthritis and inflammatory conditions.
Is M0237 covered by insurance?
M0237 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Used in rheumatoid arthritis, giant cell arteritis, and polyarticular juvenile idiopathic arthritis when first administered intravenously. Represents the initial dose of this biologic therapy.
When is CPT M0237 used?
Used in rheumatoid arthritis, giant cell arteritis, and polyarticular juvenile idiopathic arthritis when first administered intravenously. Represents the initial dose of this biologic therapy.
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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.