J1205 HCPCS code: Injection, chlorothiazide sodium, per 500 mg
J1205 is the HCPCS Level II code for injection, chlorothiazide sodium, per 500 mg. In 2024 Medicare paid an average of $46.73 per service for J1205 across 348 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 fell 9% from 2022 to 2024 (383 to 348 services). In 2024, about 20 clinicians billed Medicare for J1205 for 138 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 | 2018-01-01 |
Who bills J1205 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 20 |
| Medicare beneficiaries | 138 |
| States with claims | 3 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for J1205, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 383 | 188 | $47.70 | $37.70 |
| 2023 | 253 | 123 | $55.85 | $44.27 |
| 2024 | 348 | 138 | $59.33 | $46.73 |
States with the most J1205 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Tennessee | 213 | $47.51 |
| Arizona | 77 | $29.37 |
| Georgia | 26 | $72.14 |
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 J1205
- 1982-01-01: J1205 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 J1205?
J1205 is the HCPCS Level II code for injection, chlorothiazide sodium, per 500 mg. Short descriptor: "Chlorothiazide sodium inj".
How much does Medicare pay for J1205?
In 2024, the average Medicare payment was $46.73 per service (average allowed $59.33).
Does Medicare cover J1205?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
How many units of J1205 can be billed per day?
4 on outpatient hospital claims; 4 on practitioner claims (NCCI medically unlikely edits).
Related J12 codes
- J1200 — Injection, diphenhydramine hcl, up to 50 mg
- J1201 — Injection, cetirizine hydrochloride, 0.5 mg
- J1202 — Miglustat, oral, 65 mg
- J1203 — Injection, cipaglucosidase alfa-atga, 5 mg
- J1212 — Injection, dmso, dimethyl sulfoxide, 50%, 50 ml
- J1230 — Injection, methadone hcl, up to 10 mg
- J1240 — Injection, dimenhydrinate, up to 50 mg
- J1245 — Injection, dipyridamole, per 10 mg
- J1250 — Injection, dobutamine hydrochloride, per 250 mg
- J1260 — Injection, dolasetron mesylate, 10 mg
- J1265 — Injection, dopamine hcl, 40 mg
- J1267 — Injection, doripenem, 10 mg
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Next steps
- Run a reimbursement report for a device billed under J1205
- Watch J1205 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for J1205
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.