J0780 HCPCS code: Injection, prochlorperazine, up to 10 mg
J0780 is the HCPCS Level II code for injection, prochlorperazine, up to 10 mg. In 2024 Medicare paid an average of $2.78 per service for J0780 across 3,682 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 14% from 2022 to 2024 (4,291 to 3,682 services). In 2024, about 1,204 clinicians billed Medicare for J0780 for 1,966 beneficiaries; California, Florida, Texas accounted for 43% of services.
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 | 1984-01-01 |
| Last action effective | 1997-01-01 |
Who bills J0780 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 1,204 |
| Medicare beneficiaries | 1,966 |
| States with claims | 36 |
| Share of services in top 3 states (California, Florida, Texas) | 43% |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for J0780, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 4,291 | 1,995 | $3.92 | $3.06 |
| 2023 | 3,871 | 1,963 | $2.87 | $2.23 |
| 2024 | 3,682 | 1,966 | $3.57 | $2.78 |
States with the most J0780 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| California | 918 | $2.78 |
| Florida | 313 | $2.87 |
| Texas | 288 | $2.80 |
| Arizona | 215 | $2.86 |
| Tennessee | 198 | $2.82 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 10 | Prescribing Information |
| practitioner claims | 4 | Prescribing Information |
What changed for J0780
- 1984-01-01: J0780 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 J0780?
J0780 is the HCPCS Level II code for injection, prochlorperazine, up to 10 mg. Short descriptor: "Prochlorperazine injection".
How much does Medicare pay for J0780?
In 2024, the average Medicare payment was $2.78 per service (average allowed $3.57).
Does Medicare cover J0780?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
How many units of J0780 can be billed per day?
10 on outpatient hospital claims; 4 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
Building a device that would bill under a code like this? Caduvo matches a device description to HCPCS/CPT codes, Medicare coverage and payment, and the FDA pathway in one report.
Next steps
- Run a reimbursement report for a device billed under J0780
- Watch J0780 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for J0780
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.