J0725 HCPCS code: Injection, chorionic gonadotropin, per 1,000 usp units
J0725 is the HCPCS Level II code for injection, chorionic gonadotropin, per 1,000 usp units. In 2024 Medicare paid an average of $16.61 per service for J0725 across 15,801 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 10 per day on outpatient hospital claims. Medicare volume fell 12% from 2022 to 2024 (17,912 to 15,801 services). In 2024, about 18 clinicians billed Medicare for J0725 for 242 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 | 2024-01-01 |
Who bills J0725 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 18 |
| Medicare beneficiaries | 242 |
| States with claims | 2 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for J0725, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 17,912 | 302 | $23.24 | $18.43 |
| 2023 | 14,901 | 274 | $21.97 | $17.08 |
| 2024 | 15,801 | 242 | $21.33 | $16.61 |
States with the most J0725 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Illinois | 7,655 | $16.89 |
| Georgia | 3,702 | $15.86 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 10 | Clinical: Data |
| practitioner claims | 10 | Clinical: Data |
What changed for J0725
- 1986-01-01: J0725 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 J0725?
J0725 is the HCPCS Level II code for injection, chorionic gonadotropin, per 1,000 usp units. Short descriptor: "Chorionic gonadotropin/1000u".
How much does Medicare pay for J0725?
In 2024, the average Medicare payment was $16.61 per service (average allowed $21.33).
Does Medicare cover J0725?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
How many units of J0725 can be billed per day?
10 on outpatient hospital claims; 10 on practitioner claims (NCCI medically unlikely edits).
Related J07 codes
- J0701 — Injection, cefepime hydrochloride (baxter), not therapeutically equivalent to maxipime, 500 mg
- J0702 — Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg
- J0703 — Injection, cefepime hydrochloride (b braun), not therapeutically equivalent to maxipime, 500 mg
- J0706 — Injection, caffeine citrate, 5 mg
- J0710 — Injection, cephapirin sodium, up to 1 gm
- J0712 — Injection, ceftaroline fosamil, 10 mg
- J0713 — Injection, ceftazidime, per 500 mg
- J0714 — Injection, ceftazidime and avibactam, 0.5 g/0.125 g
- J0715 — Injection, ceftizoxime sodium, per 500 mg
- J0716 — Injection, centruroides immune f(ab)2, up to 120 milligrams
- J0717 — Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)
- J0720 — Injection, chloramphenicol sodium succinate, up to 1 gm
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Next steps
- Run a reimbursement report for a device billed under J0725
- Watch J0725 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for J0725
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.