J0360 HCPCS code: Injection, hydralazine hcl, up to 20 mg
J0360 is the HCPCS Level II code for injection, hydralazine hcl, up to 20 mg. In 2024 Medicare paid an average of $3.70 per service for J0360 across 741 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 6 per day on outpatient hospital claims. Medicare volume rose 4% from 2022 to 2024 (712 to 741 services). In 2024, about 301 clinicians billed Medicare for J0360 for 599 beneficiaries; Texas, Arizona, Florida accounted for 42% of services.
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 | 1986-01-01 |
| Last action effective | 1997-01-01 |
Who bills J0360 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 301 |
| Medicare beneficiaries | 599 |
| States with claims | 16 |
| Share of services in top 3 states (Texas, Arizona, Florida) | 42% |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for J0360, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 712 | 562 | $5.01 | $3.92 |
| 2023 | 829 | 687 | $5.76 | $4.53 |
| 2024 | 741 | 599 | $4.73 | $3.70 |
States with the most J0360 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Texas | 99 | $3.63 |
| Arizona | 85 | $3.55 |
| Florida | 82 | $3.75 |
| California | 47 | $3.60 |
| Georgia | 45 | $3.80 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 6 | Prescribing Information |
| practitioner claims | 2 | Prescribing Information |
What changed for J0360
- 1986-01-01: J0360 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 J0360?
J0360 is the HCPCS Level II code for injection, hydralazine hcl, up to 20 mg. Short descriptor: "Hydralazine hcl injection".
How much does Medicare pay for J0360?
In 2024, the average Medicare payment was $3.70 per service (average allowed $4.73).
Does Medicare cover J0360?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
How many units of J0360 can be billed per day?
6 on outpatient hospital claims; 2 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
- J0348 — Injection, anidulafungin, 1 mg
- J0349 — Injection, rezafungin, 1 mg
- J0350 — Injection, anistreplase, per 30 units
- 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
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Next steps
- Run a reimbursement report for a device billed under J0360
- Watch J0360 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for J0360
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.