J1450 HCPCS code: Injection fluconazole, 200 mg
J1450 is the HCPCS Level II code for injection fluconazole, 200 mg. In 2024 Medicare paid an average of $2.03 per service for J1450 across 339 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 rose 70% from 2022 to 2024 (199 to 339 services). In 2024, about 42 clinicians billed Medicare for J1450 for 54 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 | 2000-01-01 |
| Last action effective | 2000-01-01 |
Who bills J1450 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 42 |
| Medicare beneficiaries | 54 |
| States with claims | 2 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for J1450, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 199 | 43 | $2.90 | $2.29 |
| 2023 | 560 | 68 | $2.25 | $1.78 |
| 2024 | 339 | 54 | $2.59 | $2.03 |
States with the most J1450 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Florida | 59 | $1.99 |
| Arkansas | 23 | $1.98 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 4 | Prescribing Information |
| practitioner claims | 4 | Clinical: Data |
What changed for J1450
- 2000-01-01: J1450 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 J1450?
J1450 is the HCPCS Level II code for injection fluconazole, 200 mg. Short descriptor: "Fluconazole".
How much does Medicare pay for J1450?
In 2024, the average Medicare payment was $2.03 per service (average allowed $2.59).
Does Medicare cover J1450?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
How many units of J1450 can be billed per day?
4 on outpatient hospital claims; 4 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 J1450
- Watch J1450 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for J1450
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.