J0945 HCPCS code: Injection, brompheniramine maleate, per 10 mg
J0945 is the HCPCS Level II code for injection, brompheniramine maleate, per 10 mg. In 2024 Medicare paid an average of $0.12 per service for J0945 across 2,637 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 4 per day on outpatient hospital claims. Medicare volume rose 230% from 2022 to 2024 (798 to 2,637 services). In 2024, about 69 clinicians billed Medicare for J0945 for 1,301 beneficiaries; Louisiana, Mississippi, Arkansas accounted for 96% 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 | 1982-01-01 |
| Last action effective | 1997-01-01 |
Who bills J0945 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 69 |
| Medicare beneficiaries | 1,301 |
| States with claims | 5 |
| Share of services in top 3 states (Louisiana, Mississippi, Arkansas) | 96% |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for J0945, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 798 | 511 | $3.45 | $2.68 |
| 2023 | 2,570 | 1,202 | $0.18 | $0.13 |
| 2024 | 2,637 | 1,301 | $0.17 | $0.12 |
States with the most J0945 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Louisiana | 1,379 | $0.12 |
| Mississippi | 644 | $0.12 |
| Arkansas | 492 | $0.13 |
| Tennessee | 79 | $0.14 |
| Texas | 33 | $0.12 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 4 | Prescribing Information |
| practitioner claims | 4 | Prescribing Information |
What changed for J0945
- 1982-01-01: J0945 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 J0945?
J0945 is the HCPCS Level II code for injection, brompheniramine maleate, per 10 mg. Short descriptor: "Brompheniramine maleate inj".
How much does Medicare pay for J0945?
In 2024, the average Medicare payment was $0.12 per service (average allowed $0.17).
Does Medicare cover J0945?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
How many units of J0945 can be billed per day?
4 on outpatient hospital claims; 4 on practitioner claims (NCCI medically unlikely edits).
Related J09 codes
- J0900 — Injection, testosterone enanthate and estradiol valerate, up to 1 cc
- J0901 — Vadadustat, oral, 1 mg (for esrd on dialysis)
- J0911 — Instillation, taurolidine 1.35 mg and heparin sodium 100 units (central venous catheter lock for adult patients receiving chronic hemodialysis)
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 J0945
- Watch J0945 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for J0945
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.