J1725 HCPCS code: Injection, hydroxyprogesterone caproate, 1 mg
J1725 is the HCPCS Level II code for injection, hydroxyprogesterone caproate, 1 mg. CMS terminated J1725 on 2017-12-31; do not bill it for later dates of service. Its Medicare coverage code is I (Not payable by Medicare): Medicare does not pay separately under this code; another code applies.
Code details
| Field | Value |
|---|---|
| Section | J codes — Drugs administered other than oral method |
| Coverage code | I — Not payable by Medicare |
| Pricing indicator | 00 — Not separately priced by Medicare |
| BETOS category | O1E — Other drugs |
| Added | 2012-01-01 |
| Last action effective | 2018-01-01 |
| Terminated | 2017-12-31 |
What changed for J1725
- 2012-01-01: J1725 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 J1725?
J1725 is the HCPCS Level II code for injection, hydroxyprogesterone caproate, 1 mg. Short descriptor: "Hydroxyprogesterone caproate".
Does Medicare cover J1725?
Coverage code I — Not payable by Medicare. Medicare does not pay separately under this code; another code applies.
Related J17 codes
- J1700 — Injection, hydrocortisone acetate, up to 25 mg
- J1710 — Injection, hydrocortisone sodium phosphate, up to 50 mg
- J1720 — Injection, hydrocortisone sodium succinate, up to 100 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 J1725
- Watch J1725 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for J1725
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.