J0500 HCPCS code: Injection, dicyclomine hcl, up to 20 mg
J0500 is the HCPCS Level II code for injection, dicyclomine hcl, up to 20 mg. In 2024 Medicare paid an average of $16.32 per service for J0500 across 341 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 4 per day on outpatient hospital claims. Medicare volume fell 21% from 2022 to 2024 (429 to 341 services). In 2024, about 74 clinicians billed Medicare for J0500 for 138 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 | 1986-01-01 |
| Last action effective | 1997-01-01 |
Who bills J0500 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 74 |
| Medicare beneficiaries | 138 |
| States with claims | 3 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for J0500, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 429 | 154 | $26.33 | $19.67 |
| 2023 | 666 | 155 | $23.23 | $17.48 |
| 2024 | 341 | 138 | $21.41 | $16.32 |
States with the most J0500 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Illinois | 226 | $16.86 |
| Texas | 24 | $14.96 |
| Indiana | 12 | $14.94 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 4 | Prescribing Information |
| practitioner claims | 4 | Prescribing Information |
What changed for J0500
- 1986-01-01: J0500 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 J0500?
J0500 is the HCPCS Level II code for injection, dicyclomine hcl, up to 20 mg. Short descriptor: "Dicyclomine injection".
How much does Medicare pay for J0500?
In 2024, the average Medicare payment was $16.32 per service (average allowed $21.41).
Does Medicare cover J0500?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
How many units of J0500 can be billed per day?
4 on outpatient hospital claims; 4 on practitioner claims (NCCI medically unlikely edits).
Related J05 codes
- J0515 — Injection, benztropine mesylate, per 1 mg
- J0517 — Injection, benralizumab, 1 mg
- J0520 — Injection, bethanechol chloride, myotonachol or urecholine, up to 5 mg
- J0525 — Injection, cefotetan disodium, 10 mg
- J0528 — Injection, fosfomycin disodium, 20 mg
- J0558 — Injection, penicillin g benzathine and penicillin g procaine, 100,000 units
- J0561 — Injection, penicillin g benzathine, 100,000 units
- J0565 — Injection, bezlotoxumab, 10 mg
- J0567 — Injection, cerliponase alfa, 1 mg
- J0570 — Buprenorphine implant, 74.2 mg
- J0571 — Buprenorphine, oral, 1 mg
- J0572 — Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine
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Next steps
- Run a reimbursement report for a device billed under J0500
- Watch J0500 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for J0500
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.