J0737 HCPCS code: Injection, clindamycin phosphate (baxter), not therapeutically equivalent to j0736, 300 mg
J0737 is the HCPCS Level II code for injection, clindamycin phosphate (baxter), not therapeutically equivalent to j0736, 300 mg. In 2024 Medicare paid an average of $1.98 per service for J0737 across 304 services. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. The NCCI unit limit is 9 per day on outpatient hospital claims. Medicare volume rose 1116% from 2023 to 2024 (25 to 304 services). In 2024, about 37 clinicians billed Medicare for J0737 for 126 beneficiaries.
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 | 2023-07-01 |
| Last action effective | 2024-01-01 |
Who bills J0737 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 37 |
| Medicare beneficiaries | 126 |
| States with claims | 4 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for J0737, 2023–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2023 | 25 | 12 | $2.75 | $2.19 |
| 2024 | 304 | 126 | $2.51 | $1.98 |
States with the most J0737 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| North Carolina | 97 | $2.07 |
| Ohio | 78 | $2.14 |
| Arkansas | 60 | $1.90 |
| Massachusetts | 21 | $1.71 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 9 | Prescribing Information |
| practitioner claims | 9 | Prescribing Information |
What changed for J0737
- 2023-07-01: J0737 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 J0737?
J0737 is the HCPCS Level II code for injection, clindamycin phosphate (baxter), not therapeutically equivalent to j0736, 300 mg. Short descriptor: "Inj, clindamycin (baxter)".
How much does Medicare pay for J0737?
In 2024, the average Medicare payment was $1.98 per service (average allowed $2.51).
Does Medicare cover J0737?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
How many units of J0737 can be billed per day?
9 on outpatient hospital claims; 9 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 J0737
- Watch J0737 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for J0737
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.