J1245 HCPCS code: Injection, dipyridamole, per 10 mg

J1245 is the HCPCS Level II code for injection, dipyridamole, per 10 mg. In 2024 Medicare paid an average of $2.89 per service for J1245 across 27,608 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 73% from 2022 to 2024 (104,079 to 27,608 services). In 2024, about 264 clinicians billed Medicare for J1245 for 5,441 beneficiaries; Florida, Texas, New York accounted for 54% of services.

Code details

Who bills J1245 (2024)

Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.

Medicare utilization for J1245, 2022–2024

States with the most J1245 services (2024)

NCCI unit limits (MUE)

Medicare policy articles for this code

• A54768: Billing and Coding: Cardiac Blood Pool Imaging (Multiple Gated Acquisition Scanning- MUGA, Ventriculography) When Performed in Conjunction with Cardiotoxic Chemotherapy (Palmetto GBA (MAC - Part A, MAC - Part B))
• A56476: Billing and Coding: Cardiac Radionuclide Imaging (Palmetto GBA (MAC - Part A, MAC - Part B))
• A56476: Billing and Coding: Cardiac Radionuclide Imaging (Palmetto GBA (MAC - Part A, MAC - Part B))
• A56494: Billing and Coding: Cardiovascular Nuclear Medicine (CGS Administrators, LLC (MAC - Part A, MAC - Part B))
• A56625: Billing and Coding: Echocardiography (Palmetto GBA (MAC - Part A, MAC - Part B))
• A56625: Billing and Coding: Echocardiography (Palmetto GBA (MAC - Part A, MAC - Part B))
• A56781: Billing and Coding: Transthoracic Echocardiography (TTE) (Wellpoint Federal (MAC - Part A, MAC - Part B))
• A57183: Billing and Coding: Cardiovascular Stress Testing, Including Exercise and/or Pharmacological Stress and Stress Echocardiography (Noridian Healthcare Solutions, LLC (MAC - Part A, MAC - Part B))
• A57306: Billing and Coding: Transthoracic Echocardiography (TTE) (CGS Administrators, LLC (MAC - Part A, MAC - Part B))

Covered diagnoses (3,915 ICD-10-CM codes)

The diagnoses most often listed as covered in the policy articles above:

Showing 10 of 3,915. The full list, non-covered diagnoses and CSV export are in Caduvo.

What changed for J1245

• 1993-01-01: J1245 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 J1245?

J1245 is the HCPCS Level II code for injection, dipyridamole, per 10 mg. Short descriptor: "Dipyridamole injection".

How much does Medicare pay for J1245?

In 2024, the average Medicare payment was $2.89 per service (average allowed $3.64).

Does Medicare cover J1245?

Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.

Which diagnoses support coverage for J1245?

Medicare policy articles that cite J1245 list 3,915 covered ICD-10-CM diagnosis codes across 9 articles. The most cited include I20.1 (Angina pectoris with documented spasm), I20.81 (Angina pectoris with coronary microvascular dysfunction), I20.89 (Other forms of angina pectoris). A listed diagnosis is necessary but not sufficient; the policy's other criteria still apply.

How many units of J1245 can be billed per day?

10 on outpatient hospital claims; 10 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
• J1205 — Injection, chlorothiazide sodium, per 500 mg
• J1212 — Injection, dmso, dimethyl sulfoxide, 50%, 50 ml
• J1230 — Injection, methadone hcl, up to 10 mg
• J1240 — Injection, dimenhydrinate, up to 50 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 J1245
• Watch J1245 for fee, coverage and descriptor changes
• Build a full Medicare revenue model for J1245

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.

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