J0136 HCPCS code: Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg
J0136 is the HCPCS Level II code for injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg. In 2024 Medicare paid an average of $0.04 per service for J0136 across 7,910 services. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. The NCCI unit limit is 400 per day on DME suppliers. In 2024, about 32 clinicians billed Medicare for J0136 for 76 beneficiaries.
Code details
| Field | Value |
|---|---|
| Section | J codes — Drugs administered other than oral method |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 51 — Drug or biological (priced per ASP/average sales price rules) |
| BETOS category | O1E — Other drugs |
| Added | 2023-01-01 |
| Last action effective | 2024-07-01 |
Who bills J0136 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 32 |
| Medicare beneficiaries | 76 |
| States with claims | 2 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for J0136, 2024–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2024 | 7,910 | 76 | $0.05 | $0.04 |
States with the most J0136 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| New York | 4,126 | $0.04 |
| Texas | 2,900 | $0.04 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 400 | Prescribing Information |
| outpatient hospital claims | 400 | Prescribing Information |
| practitioner claims | 400 | Prescribing Information |
What changed for J0136
- 2023-01-01: J0136 added to HCPCS Level II
- Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01
Frequently asked questions
What is HCPCS code J0136?
J0136 is the HCPCS Level II code for injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg. Short descriptor: "Inj, acetaminophen (b braun)".
How much does Medicare pay for J0136?
In 2024, the average Medicare payment was $0.04 per service (average allowed $0.05).
Does Medicare cover J0136?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
How many units of J0136 can be billed per day?
400 on DME suppliers; 400 on outpatient hospital claims; 400 on practitioner claims (NCCI medically unlikely edits).
Related J01 codes
- J0120 — Injection, tetracycline, up to 250 mg
- J0121 — Injection, omadacycline, 1 mg
- J0122 — Injection, eravacycline, 1 mg
- J0129 — Injection, abatacept, 10 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)
- J0130 — Injection abciximab, 10 mg
- J0131 — Injection, acetaminophen, not otherwise specified,10 mg
- J0132 — Injection, acetylcysteine, 100 mg
- J0133 — Injection, acyclovir, 5 mg
- J0134 — Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg
- J0135 — Injection, adalimumab, 20 mg
- J0137 — Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg
- J0138 — Injection, acetaminophen 10 mg and ibuprofen 3 mg
Building a device that would bill under a code like this? Caduvo matches a device description to HCPCS/CPT codes, Medicare coverage and payment, and the FDA pathway in one report.
Next steps
- Run a reimbursement report for a device billed under J0136
- Watch J0136 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for J0136
Sources: CMS HCPCS Level II release October 2026; CMS DMEPOS fee schedule; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.