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)
HCPCS Level II code · J codes: Drugs Administered Other Than Oral Method
HCPCS codeJ1438
- Long description
- 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 description
- Etanercept injection
- Pricing indicator
51Drugs- Medicare coverage
DSpecial coverage instructions apply- BETOS category
O1EOther drugs- ASC
- Approved for ambulatory surgical centers
- Added
- January 1, 2000
- Last change
- January 1, 2000 – No change
Frequently asked questions
What is HCPCS code J1438?
J1438 is a 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).
Does Medicare cover J1438?
The HCPCS file lists coverage code D: Special coverage instructions apply. Coverage and payment also depend on local coverage determinations and the patient’s plan.
Nearby J codes
- J1427 – Injection, viltolarsen, 10 mg
- J1428 – Injection, eteplirsen, 10 mg
- J1429 – Injection, golodirsen, 10 mg
- J1430 – Injection, ethanolamine oleate, 100 mg
- J1434 – Injection, fosaprepitant (focinvez), 1 mg
- J1435 – Injection, estrone, per 1 mg
- J1436 – Injection, etidronate disodium, per 300 mg
- J1437 – Injection, ferric derisomaltose, 10 mg
- J1439 – Injection, ferric carboxymaltose, 1 mg
- J1440 – Fecal microbiota, live - jslm, 1 ml
- J1442 – Injection, filgrastim (g-csf), excludes biosimilars, 1 microgram
- J1443 – Injection, ferric pyrophosphate citrate solution (triferic), 0.1 mg of iron
- J1444 – Injection, ferric pyrophosphate citrate powder, 0.1 mg of iron
- J1445 – Injection, ferric pyrophosphate citrate solution (triferic avnu), 0.1 mg of iron
- J1446 – Injection, tbo-filgrastim, 5 micrograms
- J1447 – Injection, tbo-filgrastim, 1 microgram
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.