J1756 HCPCS code: Injection, iron sucrose, 1 mg
J1756 is the HCPCS Level II code for injection, iron sucrose, 1 mg. In 2024 Medicare paid an average of $0.17 per service for J1756 across 13,690,361 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 500 per day on outpatient hospital claims. Medicare volume fell 8% from 2022 to 2024 (14,920,787 to 13,690,361 services). In 2024, about 3,717 clinicians billed Medicare for J1756 for 15,323 beneficiaries; Texas, Florida, New York accounted for 62% of services.
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 | 2003-01-01 |
| Last action effective | 2003-01-01 |
Who bills J1756 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 3,717 |
| Medicare beneficiaries | 15,323 |
| States with claims | 42 |
| Share of services in top 3 states (Texas, Florida, New York) | 62% |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for J1756, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 14,920,787 | 16,005 | $0.21 | $0.16 |
| 2023 | 17,873,025 | 19,391 | $0.20 | $0.16 |
| 2024 | 13,690,361 | 15,323 | $0.22 | $0.17 |
States with the most J1756 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Texas | 3,571,036 | $0.17 |
| Florida | 3,446,455 | $0.17 |
| New York | 1,440,220 | $0.16 |
| New Jersey | 829,658 | $0.17 |
| Illinois | 719,853 | $0.17 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 500 | Clinical: Data |
| practitioner claims | 500 | Clinical: Data |
What changed for J1756
- 2003-01-01: J1756 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 J1756?
J1756 is the HCPCS Level II code for injection, iron sucrose, 1 mg. Short descriptor: "Iron sucrose injection".
How much does Medicare pay for J1756?
In 2024, the average Medicare payment was $0.17 per service (average allowed $0.22).
Does Medicare cover J1756?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
How many units of J1756 can be billed per day?
500 on outpatient hospital claims; 500 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
- J1720 — Injection, hydrocortisone sodium succinate, up to 100 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
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Next steps
- Run a reimbursement report for a device billed under J1756
- Watch J1756 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for J1756
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.