J1720 HCPCS code: Injection, hydrocortisone sodium succinate, up to 100 mg
J1720 is the HCPCS Level II code for injection, hydrocortisone sodium succinate, up to 100 mg. In 2024 Medicare paid an average of $14.01 per service for J1720 across 26,984 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 39% from 2022 to 2024 (44,199 to 26,984 services). In 2024, about 3,041 clinicians billed Medicare for J1720 for 7,337 beneficiaries; California, Illinois, Florida accounted for 33% 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 | 1982-01-01 |
| Last action effective | 1997-01-01 |
Who bills J1720 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 3,041 |
| Medicare beneficiaries | 7,337 |
| States with claims | 39 |
| Share of services in top 3 states (California, Illinois, Florida) | 33% |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for J1720, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 44,199 | 10,549 | $15.42 | $12.15 |
| 2023 | 26,619 | 8,438 | $16.60 | $12.95 |
| 2024 | 26,984 | 7,337 | $17.81 | $14.01 |
States with the most J1720 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| California | 3,202 | $14.63 |
| Illinois | 2,929 | $14.59 |
| Florida | 2,660 | $14.19 |
| Texas | 1,834 | $13.99 |
| New York | 1,602 | $14.23 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 10 | Clinical: Data |
| practitioner claims | 10 | Clinical: Data |
What changed for J1720
- 1982-01-01: J1720 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 J1720?
J1720 is the HCPCS Level II code for injection, hydrocortisone sodium succinate, up to 100 mg. Short descriptor: "Hydrocortisone sodium succ i".
How much does Medicare pay for J1720?
In 2024, the average Medicare payment was $14.01 per service (average allowed $17.81).
Does Medicare cover J1720?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
How many units of J1720 can be billed per day?
10 on outpatient hospital claims; 10 on practitioner claims (NCCI medically unlikely edits).
Related J17 codes
- J1700 — Injection, hydrocortisone acetate, up to 25 mg
- J1710 — Injection, hydrocortisone sodium phosphate, up to 50 mg
- J1725 — Injection, hydroxyprogesterone caproate, 1 mg
- J1726 — Injection, hydroxyprogesterone caproate, (makena), 10 mg
- J1729 — Injection, hydroxyprogesterone caproate, not otherwise specified, 10 mg
- J1730 — Injection, diazoxide, up to 300 mg
- J1738 — Injection, meloxicam, 1 mg
- J1740 — Injection, ibandronate sodium, 1 mg
- J1741 — Injection, ibuprofen, 100 mg
- J1742 — Injection, ibutilide fumarate, 1 mg
- J1743 — Injection, idursulfase, 1 mg
- J1744 — Injection, icatibant, 1 mg
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Next steps
- Run a reimbursement report for a device billed under J1720
- Watch J1720 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for J1720
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.