J0285 HCPCS code: Injection, amphotericin b, 50 mg
J0285 is the HCPCS Level II code for injection, amphotericin b, 50 mg. In 2024 Medicare paid an average of $29.28 per service for J0285 across 387 services. Its Medicare coverage code is D (Special coverage instructions apply): Medicare covers it when its national or local coverage criteria are met. The NCCI unit limit is 30 per day on DME suppliers. Medicare volume rose 78% from 2022 to 2024 (218 to 387 services). In 2024, about 15 clinicians billed Medicare for J0285 for 44 beneficiaries.
Code details
| Field | Value |
|---|---|
| Section | J codes — Drugs administered other than oral method |
| Coverage code | D — Special coverage instructions apply |
| Pricing indicator | 51 — Drug or biological (priced per ASP/average sales price rules) |
| BETOS category | O1E — Other drugs |
| Added | 1999-01-01 |
| Last action effective | 1999-01-01 |
Who bills J0285 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 15 |
| Medicare beneficiaries | 44 |
| States with claims | 1 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for J0285, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 218 | 46 | $42.85 | $34.01 |
| 2023 | 193 | 42 | $36.36 | $28.80 |
| 2024 | 387 | 44 | $36.87 | $29.28 |
States with the most J0285 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| New York | 287 | $28.74 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 30 | Clinical: Data |
| outpatient hospital claims | 5 | Prescribing Information |
| practitioner claims | 5 | Prescribing Information |
What changed for J0285
- 1999-01-01: J0285 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 J0285?
J0285 is the HCPCS Level II code for injection, amphotericin b, 50 mg. Short descriptor: "Amphotericin b".
How much does Medicare pay for J0285?
In 2024, the average Medicare payment was $29.28 per service (average allowed $36.87).
Does Medicare cover J0285?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
How many units of J0285 can be billed per day?
30 on DME suppliers; 5 on outpatient hospital claims; 5 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
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 J0285
- Watch J0285 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for J0285
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.