J0740 HCPCS code: Injection, cidofovir, 375 mg
J0740 is the HCPCS Level II code for injection, cidofovir, 375 mg. In 2024 Medicare paid an average of $341.11 per service for J0740 across 220 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 2 per day on outpatient hospital claims. In 2024, about 46 clinicians billed Medicare for J0740 for 60 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 | 1998-01-01 |
| Last action effective | 1998-01-01 |
Who bills J0740 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 46 |
| Medicare beneficiaries | 60 |
| States with claims | 2 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for J0740, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 220 | 60 | $503.96 | $397.22 |
| 2023 | 201 | 63 | $495.35 | $391.82 |
| 2024 | 220 | 60 | $432.18 | $341.11 |
States with the most J0740 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| California | 36 | $439.71 |
| Wisconsin | 32 | $412.38 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 2 | Prescribing Information |
| practitioner claims | 2 | Prescribing Information |
What changed for J0740
- 1998-01-01: J0740 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 J0740?
J0740 is the HCPCS Level II code for injection, cidofovir, 375 mg. Short descriptor: "Cidofovir injection".
How much does Medicare pay for J0740?
In 2024, the average Medicare payment was $341.11 per service (average allowed $432.18).
Does Medicare cover J0740?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
How many units of J0740 can be billed per day?
2 on outpatient hospital claims; 2 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 J0740
- Watch J0740 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for J0740
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.