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J-code: Drugs administered other than oral method; chemotherapy drugs Drugs administered other than oral method; chemotherapy drugs

1,255 codes

Billing context

J-codes are permanent national codes for drugs and biologicals — most often clinician-administered (buy-and-bill) products paid under Medicare Part B — plus certain immunosuppressive, inhalation (via DME), and oral anticancer/antiemetic drugs. Units are reported in multiples of the dosage in the code descriptor.
J-codes, page 2 of 13
CodeLong descriptorPayment limit (Q4 2026)AddedStatus
J0480Injection, basiliximab, 20 mg$4,917.630per 20 MGJan 1, 2006Active
J0485Injection, belatacept, 1 mg$3.883per 1 MGJan 1, 2013Active
J0490Injection, belimumab, 10 mg$58.333per 10 MGJan 1, 2012Active
J0491Injection, anifrolumab-fnia, 1 mg$18.461per 1 MGApr 1, 2022Active
J0500Injection, dicyclomine hcl, up to 20 mg$12.061per 20 MGJan 1, 1986Active
J0515Injection, benztropine mesylate, per 1 mg$12.262per 1 MGJan 1, 1982Active
J0517Injection, benralizumab, 1 mg$165.080per 1 MGJan 1, 2019Active
J0520Injection, bethanechol chloride, myotonachol or urecholine, up to 5 mg—Jan 1, 1984Active
J0525Injection, cefotetan disodium, 10 mg—Oct 1, 2025Active
J0528Injection, fosfomycin disodium, 20 mg$0.633per 20 MGJul 1, 2026Active
J0558Injection, penicillin g benzathine and penicillin g procaine, 100,000 units$19.523per 100,000 UNITSJan 1, 2011Active
J0561Injection, penicillin g benzathine, 100,000 units$25.612per 100,000 UNITSJan 1, 2011Active
J0565Injection, bezlotoxumab, 10 mg—Jan 1, 2018Active
J0567Injection, cerliponase alfa, 1 mg—Jan 1, 2019Active
J0570Buprenorphine implant, 74.2 mg—Jan 1, 2017Active
J0571Buprenorphine, oral, 1 mg—Jan 1, 2015Active
J0572Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine—Jan 1, 2015Active
J0573Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphine—Jan 1, 2015Active
J0574Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine—Jan 1, 2015Active
J0575Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine—Jan 1, 2015Active
J0576Injection, buprenorphine extended-release (brixadi), 1 mg—Jan 1, 2024Ended Mar 31, 2024
J0577Injection, buprenorphine extended-release (brixadi), less than or equal to 7 days of therapy$433.167per Less than or equal to 7 days of therapyApr 1, 2024Active
J0578Injection, buprenorphine extended release (brixadi), greater than 7 days and up to 28 days of therapy$1,732.667per Greater than 7 days and up to 28 days of therapyApr 1, 2024Active
J0582Injection, bivalirudin (endo), not therapeutically equivalent to j0583, 1 mg$0.168per 1 MGOct 1, 2025Active
J0583Injection, bivalirudin, 1 mg$0.165per 1 MGJan 1, 2004Active
J0584Injection, burosumab-twza 1 mg$516.850per 1 MGJan 1, 2019Active
J0585Injection, onabotulinumtoxina, 1 unit$6.514per 1 UNITJan 1, 1991Active
J0586Injection, abobotulinumtoxina, 5 units$8.937per 5 UnitJan 1, 2010Active
J0587Injection, rimabotulinumtoxinb, 100 units$13.301per 100 UNITSJan 1, 2002Active
J0588Injection, incobotulinumtoxin a, 1 unit$5.262per 1 UNITJan 1, 2012Active
J0589Injection, daxibotulinumtoxina-lanm, 1 unit$3.252per 1 UNITApr 1, 2024Active
J0591Injection, deoxycholic acid, 1 mg—Jul 1, 2020Active
J0592Injection, buprenorphine hydrochloride, 0.1 mg$4.698per 0.1 MGJan 1, 2003Active
J0593Injection, lanadelumab-flyo, 1 mg (code may be used for medicare when drug administered under direct supervision of a physician, not for use when drug is self-administered)$88.340per 1 mgOct 1, 2019Active
J0594injection, busulfan, 1 mg$0.839per 1 MGJan 1, 2007Active
J0595Injection, butorphanol tartrate, 1 mg$11.316per 1 MGJan 1, 2004Active
J0596Injection, c1 esterase inhibitor (recombinant), ruconest, 10 units$37.810per 10 UNITSJan 1, 2016Active
J0597Injection, c-1 esterase inhibitor (human), berinert, 10 units$79.329per 10 UNITSJan 1, 2011Active
J0598Injection, c-1 esterase inhibitor (human), cinryze, 10 units$67.065per 10 UNITSJan 1, 2010Active
J0599Injection, c-1 esterase inhibitor (human), (haegarda), 10 units—Jan 1, 2019Active
J0600Injection, edetate calcium disodium, up to 1000 mg$6,273.865per 1000 MGJan 1, 1982Active
J0601Sevelamer carbonate (renvela or therapeutically equivalent), oral, 20 mg (for esrd on dialysis)—Jan 1, 2025Active
J0602Sevelamer carbonate (renvela or therapeutically equivalent), oral, powder, 20 mg (for esrd on dialysis)—Jan 1, 2025Active
J0603Sevelamer hydrochloride (renagel or therapeutically equivalent), oral, 20 mg (for esrd on dialysis)—Jan 1, 2025Active
J0604Cinacalcet, oral, 1 mg, (for esrd on dialysis)—Jan 1, 2018Active
J0605Sucroferric oxyhydroxide, oral, 5 mg (for esrd on dialysis)—Jan 1, 2025Active
J0606Injection, etelcalcetide, 0.1 mg—Jan 1, 2018Active
J0607Lanthanum carbonate, oral, 5 mg (for esrd on dialysis)—Jan 1, 2025Active
J0608Lanthanum carbonate, oral, powder, 5 mg, not therapeutically equivalent to j0607 (for esrd on dialysis)—Jan 1, 2025Active
J0609Ferric citrate, oral, 3 mg ferric iron, (for esrd on dialysis)—Jan 1, 2025Active
J0610Injection, calcium gluconate (fresenius kabi), per 10 ml—Jan 1, 1982Ended Mar 31, 2023
J0611Injection, calcium gluconate (wg critical care), per 10 ml—Jan 1, 2023Ended Mar 31, 2023
J0612Injection, calcium gluconate, not otherwise specified, 10 mgNOC / NOS$0.024per 10 MGApr 1, 2023Active
J0613Injection, calcium gluconate (wg critical care), not therapeutically equivalent to j0612, 10 mg$0.041per 10 MGApr 1, 2023Active
J0614Injection, treosulfan, 50 mg$32.330per 50 MGOct 1, 2025Active
J0615Calcium acetate, oral, 23 mg (for esrd on dialysis)—Jan 1, 2025Active
J0616Injection, metoprolol tartrate, 1 mg$0.140per 1 MGJul 1, 2025Active
J0618Injection, calcium chloride, 2 mg—Jul 1, 2025Active
J0620Injection, calcium glycerophosphate and calcium lactate, per 10 ml—Jan 1, 1982Active
J0630Injection, calcitonin salmon, up to 400 units—Jan 1, 1982Active
J0636Injection, calcitriol, 0.1 mcg—Jan 1, 2003Active
J0637Injection, caspofungin acetate, 5 mg$2.463per 5 MGJan 1, 2003Active
J0638Injection, canakinumab, 1 mg$156.953per 1 MGJan 1, 2011Active
J0640Injection, leucovorin calcium, per 50 mg—Jan 1, 1982Ended Sep 30, 2026
J0641Injection, levoleucovorin, not otherwise specified, 0.5 mgNOC / NOS$0.053per 0.5 MGJan 1, 2009Active
J0642Injection, levoleucovorin (khapzory), 0.5 mg$1.336per 0.5 MGOct 1, 2019Active
J0643Injection, leucovorin calcium, not otherwise specified, 1 mg$0.054per 1 MGOct 1, 2026Active
J0644Injection, leucovorin calcium (avyxa), 1 mg$2.625per 1 MGOct 1, 2026Active
J0650Injection, levothyroxine sodium, not otherwise specified, 10 mcgNOC / NOS$6.581per 10 MCGApr 1, 2024Active
J0651Injection, levothyroxine sodium (fresenius kabi), not therapeutically equivalent to j0650, 10 mcg$7.079per 10 MCGApr 1, 2024Active
J0652Injection, levothyroxine sodium (hikma), not therapeutically equivalent to j0650, 10 mcg$6.315per 10 MCGApr 1, 2024Active
J0654Injection, liothyronine, 1 mcg—Jan 1, 2026Active
J0665Injection, bupivicaine, not otherwise specified, 0.5 mgNOC / NOS$0.010per 0.5 MGJul 1, 2023Active
J0666Injection, bupivacaine liposome, 1 mg$1.426per 1 MGJan 1, 2025Active
J0668Instillation, bupivacaine and meloxicam, 1 mg/0.03 mg—Oct 1, 2025Active
J0670Injection, mepivacaine hydrochloride, per 10 ml$4.367per 10 MLJan 1, 1986Active
J0675Injection, carboprost tromethamine, 0.1 mg—Oct 1, 2025Active
J0681Injection, ceftobiprole medocaril sodium, 3 mg$1.098per 3 MGOct 1, 2025Active
J0687Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg$0.663per 500 MGJul 1, 2024Active
J0688Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg$0.829per 500 MGJan 1, 2024Active
J0689Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg$1.281per 500 MGJan 1, 2023Active
J0690Injection, cefazolin sodium, 500 mg$0.781per 500 MGJan 1, 1982Active
J0691Injection, lefamulin, 1 mg—Jul 1, 2020Active
J0692Injection, cefepime hydrochloride, 500 mg$1.292per 500 MGJan 1, 2002Active
J0693Injection, cefiderocol, 5 mg—Jan 1, 2021Ended Sep 30, 2021
J0694Injection, cefoxitin sodium, 1 gm$5.416per 1 GMJan 1, 1992Active
J0695Injection, ceftolozane 50 mg and tazobactam 25 mg$10.015per 75mg (50mg cft/25mg taz)Jan 1, 2016Active
J0696Injection, ceftriaxone sodium, per 250 mg$0.390per 250 MGJan 1, 1990Active
J0697Injection, sterile cefuroxime sodium, per 750 mg$2.106per 750 MGJan 1, 1990Active
J0698Injection, cefotaxime sodium, per gm—Jan 1, 1991Active
J0699Injection, cefiderocol, 10 mg$2.564per 10 mgOct 1, 2021Active
J0701Injection, cefepime hydrochloride (baxter), not therapeutically equivalent to maxipime, 500 mg$6.096per 500 MGJan 1, 2023Active
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg$7.175per 3 MG & 3 MGJan 1, 1995Active
J0703Injection, cefepime hydrochloride (b braun), not therapeutically equivalent to maxipime, 500 mg$4.748per 500 MGJan 1, 2023Active
J0706Injection, caffeine citrate, 5 mg—Jan 1, 2002Active
J0710Injection, cephapirin sodium, up to 1 gm—Jan 1, 1982Ended Dec 31, 2025
J0712Injection, ceftaroline fosamil, 10 mg$4.008per 10 MGJan 1, 2012Active
J0713Injection, ceftazidime, per 500 mg$1.549per 500 MGJan 1, 1996Active
J0714Injection, ceftazidime and avibactam, 0.5 g/0.125 g$109.454per .625 GMJan 1, 2016Active
J0715Injection, ceftizoxime sodium, per 500 mg—Jan 1, 1995Ended Dec 31, 2025