J1110 HCPCS code: Injection, dihydroergotamine mesylate, per 1 mg
J1110 is the HCPCS Level II code for injection, dihydroergotamine mesylate, per 1 mg. In 2024 Medicare paid an average of $27.31 per service for J1110 across 319 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 3 per day on outpatient hospital claims. Medicare volume fell 42% from 2022 to 2024 (547 to 319 services). In 2024, about 95 clinicians billed Medicare for J1110 for 118 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 | 1982-01-01 |
| Last action effective | 2019-01-01 |
Who bills J1110 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 95 |
| Medicare beneficiaries | 118 |
| States with claims | 3 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for J1110, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 547 | 203 | $44.10 | $34.32 |
| 2023 | 377 | 153 | $42.20 | $32.44 |
| 2024 | 319 | 118 | $35.20 | $27.31 |
States with the most J1110 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| North Carolina | 88 | $32.80 |
| Florida | 44 | $21.67 |
| Arizona | 31 | $14.97 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 3 | Prescribing Information |
| practitioner claims | 3 | Prescribing Information |
What changed for J1110
- 1982-01-01: J1110 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 J1110?
J1110 is the HCPCS Level II code for injection, dihydroergotamine mesylate, per 1 mg. Short descriptor: "Inj dihydroergotamine mesylt".
How much does Medicare pay for J1110?
In 2024, the average Medicare payment was $27.31 per service (average allowed $35.20).
Does Medicare cover J1110?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
How many units of J1110 can be billed per day?
3 on outpatient hospital claims; 3 on practitioner claims (NCCI medically unlikely edits).
Related J11 codes
- J1100 — Injection, dexamethasone sodium phosphate, 1 mg
- J1105 — Dexmedetomidine, oral, 1 mcg
- J1120 — Injection, acetazolamide sodium, up to 500 mg
- J1130 — Injection, diclofenac sodium, 0.5 mg
- J1160 — Injection, digoxin, up to 0.5 mg
- J1162 — Injection, digoxin immune fab (ovine), per vial
- J1163 — Injection, diltiazem hydrochloride, 0.5 mg
- J1164 — Injection, diltiazem hydrochloride in 0.72% sodium chloride, 0.5 mg
- J1165 — Injection, phenytoin sodium, per 50 mg
- J1170 — Injection, hydromorphone, up to 4 mg
- J1171 — Injection, hydromorphone, 0.1 mg
- J1180 — Injection, dyphylline, up to 500 mg
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Next steps
- Run a reimbursement report for a device billed under J1110
- Watch J1110 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for J1110
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.