J1440 HCPCS code: Fecal microbiota, live - jslm, 1 ml
J1440 is the HCPCS Level II code for fecal microbiota, live - jslm, 1 ml. In 2024 Medicare paid an average of $49.22 per service for J1440 across 29,707 services. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. The NCCI unit limit is 150 per day on outpatient hospital claims. Medicare volume rose 130% from 2023 to 2024 (12,933 to 29,707 services). In 2024, about 105 clinicians billed Medicare for J1440 for 192 beneficiaries; Georgia, Illinois, Virginia accounted for 56% of services.
Code details
| Field | Value |
|---|---|
| Section | J codes — Drugs administered other than oral method |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 13 |
| BETOS category | T2D |
| Added | 2023-07-01 |
| Last action effective | 2023-07-01 |
Who bills J1440 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 105 |
| Medicare beneficiaries | 192 |
| States with claims | 7 |
| Share of services in top 3 states (Georgia, Illinois, Virginia) | 56% |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for J1440, 2023–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2023 | 12,933 | 80 | $60.14 | $47.92 |
| 2024 | 29,707 | 192 | $61.85 | $49.22 |
States with the most J1440 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Georgia | 4,951 | $49.55 |
| Virginia | 2,850 | $49.47 |
| Illinois | 2,850 | $49.44 |
| Florida | 2,251 | $49.44 |
| Arizona | 2,100 | $49.55 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 150 | Prescribing Information |
| practitioner claims | 150 | Prescribing Information |
What changed for J1440
- 2023-07-01: J1440 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 J1440?
J1440 is the HCPCS Level II code for fecal microbiota, live - jslm, 1 ml. Short descriptor: "Fecal microbiota jslm 1 ml".
How much does Medicare pay for J1440?
In 2024, the average Medicare payment was $49.22 per service (average allowed $61.85).
Does Medicare cover J1440?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
How many units of J1440 can be billed per day?
150 on outpatient hospital claims; 150 on practitioner claims (NCCI medically unlikely edits).
Related J14 codes
- J1410 — Injection, estrogen conjugated, per 25 mg
- J1411 — Injection, etranacogene dezaparvovec-drlb, per therapeutic dose
- J1412 — Injection, valoctocogene roxaparvovec-rvox, per ml, containing nominal 2 x 10^13 vector genomes
- J1413 — Injection, delandistrogene moxeparvovec-rokl, per therapeutic dose
- J1414 — Injection, fidanacogene elaparvovec-dzkt, per therapeutic dose
- J1426 — Injection, casimersen, 10 mg
- J1427 — Injection, viltolarsen, 10 mg
- J1428 — Injection, eteplirsen, 10 mg
- J1429 — Injection, golodirsen, 10 mg
- J1430 — Injection, ethanolamine oleate, 100 mg
- J1434 — Injection, fosaprepitant (focinvez), 1 mg
- J1435 — Injection, estrone, per 1 mg
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 J1440
- Watch J1440 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for J1440
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.