J0287 HCPCS code: Injection, amphotericin b lipid complex, 10 mg
J0287 is the HCPCS Level II code for injection, amphotericin b lipid complex, 10 mg. In 2024 Medicare paid an average of $8.52 per service for J0287 across 215 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 300 per day on DME suppliers. Medicare volume fell 28% from 2022 to 2024 (299 to 215 services). In 2024, about 7 clinicians billed Medicare for J0287 for 56 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 | 2003-01-01 |
| Last action effective | 2003-01-01 |
Who bills J0287 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 7 |
| Medicare beneficiaries | 56 |
| States with claims | 3 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for J0287, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 299 | 80 | $9.86 | $7.56 |
| 2023 | 306 | 63 | $10.65 | $8.10 |
| 2024 | 215 | 56 | $10.74 | $8.52 |
States with the most J0287 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| New Jersey | 155 | $8.72 |
| Texas | 36 | $7.65 |
| California | 23 | $8.49 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 300 | Clinical: Data |
| outpatient hospital claims | 60 | Clinical: Data |
| practitioner claims | 50 | Clinical: Data |
What changed for J0287
- 2003-01-01: J0287 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 J0287?
J0287 is the HCPCS Level II code for injection, amphotericin b lipid complex, 10 mg. Short descriptor: "Amphotericin b lipid complex".
How much does Medicare pay for J0287?
In 2024, the average Medicare payment was $8.52 per service (average allowed $10.74).
Does Medicare cover J0287?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
How many units of J0287 can be billed per day?
300 on DME suppliers; 60 on outpatient hospital claims; 50 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 J0287
- Watch J0287 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for J0287
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.