HCPCS Code G8868

Patients receiving a first course of anti-tnf therapy
Code effective Jan 01, 2017

HCPCS Section
Procedures/Professional Services (Temporary Codes)

G8868 is a valid 2026 HCPCS code meaning Patients receiving a first course of anti-tnf therapy or (1st course antitnf) for short. HCPCS G8868 has been effective since 01/01/2017 and applies to Medical care.

HCPCS Code Details - G8868

HCPCS Level II Code
Section G - Procedures/Professional Services (Temporary Codes)
HCPCS Code G8868
Description

Long description:
Patients receiving a first course of anti-tnf therapy

Short description:
1st course antitnf

HCPCS Pricing indicator 00 - Physician Fee Schedule And Non-Physician Practitioners - Service not separately priced by part B (e.g., services not covered, bundled, used by Part A only, etc.)
Multiple pricing indicator 9 - Not applicable as HCPCS not priced separately by part B or value is not established
Coverage code C - Carrier judgment
BETOS2 code M5B - Specialist - psychiatry
HCPCS Action code N - No maintenance for this code
Type of service 1 - Medical care
Effective date Effective Jan 01, 2017
Date added Added Jan 01, 2012
Termination date Dec 31, 2016

See also

  • HCPCS G8867 · Pneumococcal vaccine not administered or previously received, reason not given

  • HCPCS M1395 · Patients receiving an initial chemotherapy regimen with a defined duration with the eligible clinician or group

  • HCPCS M1402 · Patients receiving an initial chemotherapy regimen with a defined duration with the eligible clinician or group

  • HCPCS G8869 · Patient has documented immunity to hepatitis b and initiating anti-tnf therapy

1 Two-digit numeric codes are Level I code modifiers copyrighted© by the American Medical Association's Current Procedural Terminology (CPT).

2 BETOS stands for “Berenson-Eggers Type Of Service”

HCPCS Level II codes and descriptors are approved and maintained jointly by the alpha-numeric editorial panel (consisting of CMS, the Health Insurance Association of America, and the Blue Cross and Blue Shield Association). — Updated 7/13/2026

CPT® is a registered trademark of the American Medical Association (AMA). All rights reserved.