J0348 HCPCS code: Injection, anidulafungin, 1 mg
J0348 is the HCPCS Level II code for injection, anidulafungin, 1 mg. In 2024 Medicare paid an average of $0.38 per service for J0348 across 14,006 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 19% from 2022 to 2024 (11,750 to 14,006 services). In 2024, about 22 clinicians billed Medicare for J0348 for 11 beneficiaries.
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 | 2007-01-01 |
| Last action effective | 2014-01-01 |
Who bills J0348 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 22 |
| Medicare beneficiaries | 11 |
| States with claims | 0 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for J0348, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 11,750 | 12 | $0.58 | $0.46 |
| 2023 | 16,292 | 16 | $0.46 | $0.37 |
| 2024 | 14,006 | 11 | $0.47 | $0.38 |
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 J0348
- 2007-01-01: J0348 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 J0348?
J0348 is the HCPCS Level II code for injection, anidulafungin, 1 mg. Short descriptor: "Anidulafungin injection".
How much does Medicare pay for J0348?
In 2024, the average Medicare payment was $0.38 per service (average allowed $0.47).
Does Medicare cover J0348?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
How many units of J0348 can be billed per day?
200 on outpatient hospital claims; 200 on practitioner claims (NCCI medically unlikely edits).
Related J03 codes
- J0300 — Injection, amobarbital, up to 125 mg
- J0330 — Injection, succinylcholine chloride, up to 20 mg
- J0349 — Injection, rezafungin, 1 mg
- J0350 — Injection, anistreplase, per 30 units
- J0360 — Injection, hydralazine hcl, up to 20 mg
- J0364 — Injection, apomorphine hydrochloride, 1 mg
- J0365 — Injection, aprotonin, 10,000 kiu
- J0380 — Injection, metaraminol bitartrate, per 10 mg
- J0390 — Injection, chloroquine hydrochloride, up to 250 mg
- J0391 — Injection, artesunate, 1 mg
- J0395 — Injection, arbutamine hcl, 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 J0348
- Watch J0348 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for J0348
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.