J1953 HCPCS code: Injection, levetiracetam, 10 mg
J1953 is the HCPCS Level II code for injection, levetiracetam, 10 mg. In 2024 Medicare paid an average of $0.05 per service for J1953 across 6,584 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 300 per day on outpatient hospital claims. Medicare volume fell 53% from 2022 to 2024 (13,972 to 6,584 services). In 2024, about 35 clinicians billed Medicare for J1953 for 100 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 | 2009-01-01 |
| Last action effective | 2009-01-01 |
Who bills J1953 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 35 |
| Medicare beneficiaries | 100 |
| States with claims | 3 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for J1953, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 13,972 | 99 | $0.09 | $0.07 |
| 2023 | 10,415 | 96 | $0.07 | $0.06 |
| 2024 | 6,584 | 100 | $0.06 | $0.05 |
States with the most J1953 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| New York | 1,324 | $0.04 |
| California | 1,100 | $0.05 |
| Arizona | 314 | $0.05 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 300 | Prescribing Information |
| practitioner claims | 300 | Prescribing Information |
What changed for J1953
- 2009-01-01: J1953 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 J1953?
J1953 is the HCPCS Level II code for injection, levetiracetam, 10 mg. Short descriptor: "Levetiracetam injection".
How much does Medicare pay for J1953?
In 2024, the average Medicare payment was $0.05 per service (average allowed $0.06).
Does Medicare cover J1953?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
How many units of J1953 can be billed per day?
300 on outpatient hospital claims; 300 on practitioner claims (NCCI medically unlikely edits).
Related J19 codes
- J1920 — Injection, labetalol hydrochloride, 5 mg
- J1921 — Injection, labetalol hydrochloride (hikma), not therapeutically equivalent to j1920, 5 mg
- J1930 — Injection, lanreotide, 1 mg
- J1931 — Injection, laronidase, 0.1 mg
- J1932 — Injection, lanreotide, (cipla), 1 mg
- J1938 — Injection, furosemide, 1 mg
- J1939 — Injection, bumetanide, 0.5 mg
- J1940 — Injection, furosemide, up to 20 mg
- J1941 — Injection, furosemide (furoscix), 20 mg
- J1942 — Injection, aripiprazole lauroxil, 1 mg
- J1943 — Injection, aripiprazole lauroxil, (aristada initio), 1 mg
- J1944 — Injection, aripiprazole lauroxil, (aristada), 1 mg
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Next steps
- Run a reimbursement report for a device billed under J1953
- Watch J1953 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for J1953
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.