J1447 HCPCS code: Injection, tbo-filgrastim, 1 microgram
J1447 is the HCPCS Level II code for injection, tbo-filgrastim, 1 microgram. In 2024 Medicare paid an average of $0.31 per service for J1447 across 1,287,521 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 960 per day on outpatient hospital claims. Medicare volume fell 48% from 2022 to 2024 (2,463,934 to 1,287,521 services). In 2024, about 336 clinicians billed Medicare for J1447 for 453 beneficiaries; New Jersey, California, Washington accounted for 51% of services.
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 | 2016-01-01 |
| Last action effective | 2016-01-01 |
Who bills J1447 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 336 |
| Medicare beneficiaries | 453 |
| States with claims | 12 |
| Share of services in top 3 states (New Jersey, California, Washington) | 51% |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for J1447, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 2,463,934 | 724 | $0.42 | $0.33 |
| 2023 | 1,643,206 | 562 | $0.40 | $0.31 |
| 2024 | 1,287,521 | 453 | $0.40 | $0.31 |
States with the most J1447 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| New Jersey | 245,101 | $0.32 |
| California | 212,821 | $0.32 |
| Washington | 106,740 | $0.31 |
| New York | 93,064 | $0.32 |
| Texas | 79,173 | $0.32 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 960 | Clinical: Data |
| practitioner claims | 960 | Clinical: Data |
Medicare policy articles for this code
- A56748: Billing and Coding: White Cell Colony Stimulating Factors (Palmetto GBA (MAC - Part A, MAC - Part B))
Covered diagnoses (1,265 ICD-10-CM codes)
The diagnoses most often listed as covered in the policy articles above:
| ICD-10-CM | Diagnosis | Articles listing it |
|---|---|---|
| B20 | Human immunodeficiency virus [HIV] disease | 1 |
| C00.0 | Malignant neoplasm of external upper lip | 1 |
| C00.1 | Malignant neoplasm of external lower lip | 1 |
| C00.2 | Malignant neoplasm of external lip, unspecified | 1 |
| C00.3 | Malignant neoplasm of upper lip, inner aspect | 1 |
| C00.4 | Malignant neoplasm of lower lip, inner aspect | 1 |
| C00.5 | Malignant neoplasm of lip, unspecified, inner aspect | 1 |
| C00.6 | Malignant neoplasm of commissure of lip, unspecified | 1 |
| C00.8 | Malignant neoplasm of overlapping sites of lip | 1 |
| C00.9 | Malignant neoplasm of lip, unspecified | 1 |
Showing 10 of 1,265. The full list, non-covered diagnoses and CSV export are in Caduvo.
What changed for J1447
- 2016-01-01: J1447 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 J1447?
J1447 is the HCPCS Level II code for injection, tbo-filgrastim, 1 microgram. Short descriptor: "Inj tbo filgrastim 1 microg".
How much does Medicare pay for J1447?
In 2024, the average Medicare payment was $0.31 per service (average allowed $0.40).
Does Medicare cover J1447?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
Which diagnoses support coverage for J1447?
Medicare policy articles that cite J1447 list 1,265 covered ICD-10-CM diagnosis codes across 1 article. The most cited include B20 (Human immunodeficiency virus [HIV] disease), C00.0 (Malignant neoplasm of external upper lip), C00.1 (Malignant neoplasm of external lower lip). A listed diagnosis is necessary but not sufficient; the policy's other criteria still apply.
How many units of J1447 can be billed per day?
960 on outpatient hospital claims; 960 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
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Next steps
- Run a reimbursement report for a device billed under J1447
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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.