J0248 HCPCS code: Injection, remdesivir, 1 mg
J0248 is the HCPCS Level II code for injection, remdesivir, 1 mg. In 2024 Medicare paid an average of $4.83 per service for J0248 across 296,833 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 200 per day on outpatient hospital claims. Medicare volume rose 10% from 2022 to 2024 (269,498 to 296,833 services). In 2024, about 190 clinicians billed Medicare for J0248 for 786 beneficiaries; Minnesota, California, Massachusetts accounted for 85% 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 | 2021-12-23 |
| Last action effective | 2021-12-23 |
Who bills J0248 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 190 |
| Medicare beneficiaries | 786 |
| States with claims | 7 |
| Share of services in top 3 states (Minnesota, California, Massachusetts) | 85% |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for J0248, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 269,498 | 768 | $5.26 | $4.18 |
| 2023 | 459,723 | 1,260 | $5.52 | $4.36 |
| 2024 | 296,833 | 786 | $6.09 | $4.83 |
States with the most J0248 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Minnesota | 171,200 | $4.85 |
| California | 35,431 | $4.87 |
| Massachusetts | 32,400 | $4.89 |
| Texas | 18,800 | $4.80 |
| Virginia | 11,300 | $4.77 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 200 | Prescribing Information |
| practitioner claims | 200 | Prescribing Information |
What changed for J0248
- 2021-12-23: J0248 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 J0248?
J0248 is the HCPCS Level II code for injection, remdesivir, 1 mg. Short descriptor: "Inj, remdesivir, 1 mg".
How much does Medicare pay for J0248?
In 2024, the average Medicare payment was $4.83 per service (average allowed $6.09).
Does Medicare cover J0248?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
How many units of J0248 can be billed per day?
200 on outpatient hospital claims; 200 on practitioner claims (NCCI medically unlikely edits).
Related J02 codes
- J0200 — Injection, alatrofloxacin mesylate, 100 mg
- J0202 — Injection, alemtuzumab, 1 mg
- J0205 — Injection, alglucerase, per 10 units
- J0206 — Injection, allopurinol sodium, 1 mg
- J0207 — Injection, amifostine, 500 mg
- J0208 — Injection, sodium thiosulfate (pedmark), 100 mg
- J0209 — Injection, sodium thiosulfate (hope), 100 mg
- J0210 — Injection, methyldopate hcl, up to 250 mg
- J0211 — Injection, sodium nitrite 3 mg and sodium thiosulfate 125 mg (nithiodote)
- J0215 — Injection, alefacept, 0.5 mg
- J0216 — Injection, alfentanil hydrochloride, 500 micrograms
- J0217 — Injection, velmanase alfa-tycv, 1 mg
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Next steps
- Run a reimbursement report for a device billed under J0248
- Watch J0248 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for J0248
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.