J0592 HCPCS code: Injection, buprenorphine hydrochloride, 0.1 mg
J0592 is the HCPCS Level II code for injection, buprenorphine hydrochloride, 0.1 mg. In 2024 Medicare paid an average of $2.84 per service for J0592 across 71 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 12 per day on outpatient hospital claims. Medicare volume fell 70% from 2022 to 2024 (237 to 71 services). In 2024, about 9 clinicians billed Medicare for J0592 for 37 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 J0592 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 9 |
| Medicare beneficiaries | 37 |
| States with claims | 1 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for J0592, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 237 | 146 | $4.03 | $2.95 |
| 2023 | 217 | 160 | $3.98 | $2.96 |
| 2024 | 71 | 37 | $3.85 | $2.84 |
States with the most J0592 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| California | 25 | $2.57 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 12 | Clinical: Data |
| practitioner claims | 6 | Clinical: Data |
What changed for J0592
- 2003-01-01: J0592 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 J0592?
J0592 is the HCPCS Level II code for injection, buprenorphine hydrochloride, 0.1 mg. Short descriptor: "Buprenorphine hydrochloride".
How much does Medicare pay for J0592?
In 2024, the average Medicare payment was $2.84 per service (average allowed $3.85).
Does Medicare cover J0592?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
How many units of J0592 can be billed per day?
12 on outpatient hospital claims; 6 on practitioner claims (NCCI medically unlikely edits).
Related J05 codes
- J0500 — Injection, dicyclomine hcl, up to 20 mg
- 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
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Next steps
- Run a reimbursement report for a device billed under J0592
- Watch J0592 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for J0592
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.