J0364 HCPCS code: Injection, apomorphine hydrochloride, 1 mg
J0364 is the HCPCS Level II code for injection, apomorphine hydrochloride, 1 mg. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. The NCCI unit limit is 6 per day on outpatient hospital claims.
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 | 2007-01-01 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 6 | Prescribing Information |
| practitioner claims | 6 | Prescribing Information |
What changed for J0364
- 2007-01-01: J0364 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 J0364?
J0364 is the HCPCS Level II code for injection, apomorphine hydrochloride, 1 mg. Short descriptor: "Apomorphine hydrochloride".
Does Medicare cover J0364?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
How many units of J0364 can be billed per day?
6 on outpatient hospital claims; 6 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
- J0360 — Injection, hydralazine hcl, up to 20 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 J0364
- Watch J0364 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for J0364
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.