J1190 HCPCS code: Injection, dexrazoxane hydrochloride, per 250 mg
J1190 is the HCPCS Level II code for injection, dexrazoxane hydrochloride, per 250 mg. In 2024 Medicare paid an average of $74.45 per service for J1190 across 1,364 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 8 per day on outpatient hospital claims. Medicare volume fell 23% from 2022 to 2024 (1,783 to 1,364 services). In 2024, about 158 clinicians billed Medicare for J1190 for 99 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 | 1997-01-01 |
| Last action effective | 1997-01-01 |
Who bills J1190 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 158 |
| Medicare beneficiaries | 99 |
| States with claims | 2 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for J1190, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 1,783 | 118 | $172.56 | $137.77 |
| 2023 | 1,346 | 98 | $127.50 | $101.52 |
| 2024 | 1,364 | 99 | $93.53 | $74.45 |
States with the most J1190 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Texas | 316 | $69.85 |
| Florida | 141 | $73.25 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 8 | Prescribing Information |
| practitioner claims | 8 | Prescribing Information |
What changed for J1190
- 1997-01-01: J1190 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 J1190?
J1190 is the HCPCS Level II code for injection, dexrazoxane hydrochloride, per 250 mg. Short descriptor: "Dexrazoxane hcl injection".
How much does Medicare pay for J1190?
In 2024, the average Medicare payment was $74.45 per service (average allowed $93.53).
Does Medicare cover J1190?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
How many units of J1190 can be billed per day?
8 on outpatient hospital claims; 8 on practitioner claims (NCCI medically unlikely edits).
Related J11 codes
- J1100 — Injection, dexamethasone sodium phosphate, 1 mg
- J1105 — Dexmedetomidine, oral, 1 mcg
- J1110 — Injection, dihydroergotamine mesylate, per 1 mg
- 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
- 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 J1190
- Watch J1190 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for J1190
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.