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M0249 Adm tocilizu covid-19 first

M Codes

Also known as: COVID tocilizumab first, toci COVID first dose

Administration of tocilizumab for coronavirus disease 2019 (COVID-19), first dose. Tocilizumab is used to reduce immune hyperactivation in severe COVID-19.

In Plain Language

Immune-controlling therapy for severe COVID; First anti-inflammatory infusion

Clinical Context

Administered in hospitalized patients with severe COVID-19 showing evidence of systemic inflammatory response. Used as an initial dose for immune modulation.

RVU Information

CPT M0249 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

Infectious DiseaseCritical CarePulmonology

Frequently Asked Questions

What is CPT code M0249?

CPT M0249 (Adm tocilizu covid-19 first) is a M Codes code. Administration of tocilizumab for coronavirus disease 2019 (COVID-19), first dose. Tocilizumab is used to reduce immune hyperactivation in severe COVID-19.

Is M0249 covered by insurance?

M0249 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Administered in hospitalized patients with severe COVID-19 showing evidence of systemic inflammatory response. Used as an initial dose for immune modulation.

When is CPT M0249 used?

Administered in hospitalized patients with severe COVID-19 showing evidence of systemic inflammatory response. Used as an initial dose for immune modulation.

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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.