J1596 HCPCS code: Injection, glycopyrrolate, 0.1 mg
J1596 is the HCPCS Level II code for injection, glycopyrrolate, 0.1 mg. In 2024 Medicare paid an average of $0.38 per service for J1596 across 99 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 18 per day on outpatient hospital claims. In 2024, about 21 clinicians billed Medicare for J1596 for 43 beneficiaries.
Code details
| Field | Value |
|---|---|
| Section | J codes — Drugs administered other than oral method |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 51 — Drug or biological (priced per ASP/average sales price rules) |
| BETOS category | O1E — Other drugs |
| Added | 2024-01-01 |
| Last action effective | 2025-01-01 |
Who bills J1596 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 21 |
| Medicare beneficiaries | 43 |
| States with claims | 2 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for J1596, 2024–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2024 | 99 | 43 | $0.50 | $0.38 |
States with the most J1596 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Florida | 22 | $0.40 |
| Ohio | 20 | $0.38 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 18 | CMS Policy |
| practitioner claims | 18 | CMS Policy |
What changed for J1596
- 2024-01-01: J1596 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 J1596?
J1596 is the HCPCS Level II code for injection, glycopyrrolate, 0.1 mg. Short descriptor: "Inj, glycopyrrolate, 0.1 mg".
How much does Medicare pay for J1596?
In 2024, the average Medicare payment was $0.38 per service (average allowed $0.50).
Does Medicare cover J1596?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
How many units of J1596 can be billed per day?
18 on outpatient hospital claims; 18 on practitioner claims (NCCI medically unlikely edits).
Related J15 codes
- J1551 — Injection, immune globulin (cutaquig), 100 mg
- J1552 — Injection, immune globulin (alyglo), 500 mg
- J1554 — Injection, immune globulin (asceniv), 500 mg
- J1555 — Injection, immune globulin (cuvitru), 100 mg
- J1556 — Injection, immune globulin (bivigam), 500 mg
- J1557 — Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g., liquid), 500 mg
- J1558 — Injection, immune globulin (xembify), 100 mg
- J1559 — Injection, immune globulin (hizentra), 100 mg
- J1560 — Injection, gamma globulin, intramuscular, over 10 cc
- J1561 — Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg
- J1562 — Injection, immune globulin (vivaglobin), 100 mg
- J1566 — Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg
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Next steps
- Run a reimbursement report for a device billed under J1596
- Watch J1596 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for J1596
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.