J0175 HCPCS code: Injection, donanemab-azbt, 2 mg
J0175 is the HCPCS Level II code for injection, donanemab-azbt, 2 mg. In 2024 Medicare paid an average of $3.32 per service for J0175 across 978,159 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 700 per day on DME suppliers. In 2024, about 359 clinicians billed Medicare for J0175 for 1,142 beneficiaries; Florida, Texas, California accounted for 69% of services.
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 | 2024-07-02 |
| Last action effective | 2024-07-02 |
Who bills J0175 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 359 |
| Medicare beneficiaries | 1,142 |
| States with claims | 17 |
| Share of services in top 3 states (Florida, Texas, California) | 69% |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for J0175, 2024–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2024 | 978,159 | 1,142 | $4.16 | $3.32 |
States with the most J0175 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Florida | 486,180 | $3.20 |
| Texas | 90,475 | $3.21 |
| California | 48,825 | $3.21 |
| Virginia | 34,650 | $3.21 |
| South Carolina | 32,700 | $3.15 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 700 | Prescribing Information |
| outpatient hospital claims | 700 | Prescribing Information |
| practitioner claims | 700 | Prescribing Information |
What changed for J0175
- 2024-07-02: J0175 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 J0175?
J0175 is the HCPCS Level II code for injection, donanemab-azbt, 2 mg. Short descriptor: "Inj, donanemab-azbt, 2 mg".
How much does Medicare pay for J0175?
In 2024, the average Medicare payment was $3.32 per service (average allowed $4.16).
Does Medicare cover J0175?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
How many units of J0175 can be billed per day?
700 on DME suppliers; 700 on outpatient hospital claims; 700 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
- J0136 — Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg
- J0137 — Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 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 J0175
- Watch J0175 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for J0175
Sources: CMS HCPCS Level II release October 2025; 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.