J1744 HCPCS code: Injection, icatibant, 1 mg

J1744 is the HCPCS Level II code for injection, icatibant, 1 mg. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. The NCCI unit limit is 90 per day on outpatient hospital claims.

Code details

FieldValue
SectionJ codes — Drugs administered other than oral method
Coverage codeC — Carrier judgment
Pricing indicator51 — Drug or biological (priced per ASP/average sales price rules)
BETOS categoryO1E — Other drugs
Added2013-01-01
Last action effective2013-01-01

NCCI unit limits (MUE)

Claim typeMax units per dayRationale
outpatient hospital claims90Prescribing Information
practitioner claims30Prescribing Information

What changed for J1744

Frequently asked questions

What is HCPCS code J1744?

J1744 is the HCPCS Level II code for injection, icatibant, 1 mg. Short descriptor: "Icatibant injection".

Does Medicare cover J1744?

Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.

How many units of J1744 can be billed per day?

90 on outpatient hospital claims; 30 on practitioner claims (NCCI medically unlikely edits).

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Next steps

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.

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