J0185 HCPCS code: Injection, aprepitant, 1 mg
J0185 is the HCPCS Level II code for injection, aprepitant, 1 mg. In 2024 Medicare paid an average of $1.33 per service for J0185 across 9,212,238 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 130 per day on outpatient hospital claims. Medicare volume rose 6% from 2022 to 2024 (8,673,660 to 9,212,238 services). In 2024, about 1,930 clinicians billed Medicare for J0185 for 14,795 beneficiaries; Florida, California, Virginia accounted for 34% 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 | 2019-01-01 |
| Last action effective | 2019-01-01 |
Who bills J0185 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 1,930 |
| Medicare beneficiaries | 14,795 |
| States with claims | 43 |
| Share of services in top 3 states (Florida, California, Virginia) | 34% |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for J0185, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 8,673,660 | 14,121 | $1.68 | $1.34 |
| 2023 | 9,505,358 | 15,240 | $1.71 | $1.36 |
| 2024 | 9,212,238 | 14,795 | $1.68 | $1.33 |
States with the most J0185 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Florida | 1,694,539 | $1.33 |
| California | 889,539 | $1.34 |
| Virginia | 574,990 | $1.34 |
| Maryland | 411,061 | $1.33 |
| Kansas | 409,890 | $1.34 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 130 | Prescribing Information |
| practitioner claims | 130 | Prescribing Information |
What changed for J0185
- 2019-01-01: J0185 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 J0185?
J0185 is the HCPCS Level II code for injection, aprepitant, 1 mg. Short descriptor: "Inj., aprepitant, 1 mg".
How much does Medicare pay for J0185?
In 2024, the average Medicare payment was $1.33 per service (average allowed $1.68).
Does Medicare cover J0185?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
How many units of J0185 can be billed per day?
130 on outpatient hospital claims; 130 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
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Next steps
- Run a reimbursement report for a device billed under J0185
- Watch J0185 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for J0185
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.