J1956 HCPCS code: Injection, levofloxacin, 250 mg
J1956 is the HCPCS Level II code for injection, levofloxacin, 250 mg. In 2024 Medicare paid an average of $0.76 per service for J1956 across 6,250 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 4 per day on outpatient hospital claims. Medicare volume fell 24% from 2022 to 2024 (8,231 to 6,250 services). In 2024, about 307 clinicians billed Medicare for J1956 for 847 beneficiaries; Florida, California, Texas accounted for 67% 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 | 1999-01-01 |
| Last action effective | 1999-01-01 |
Who bills J1956 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 307 |
| Medicare beneficiaries | 847 |
| States with claims | 18 |
| Share of services in top 3 states (Florida, California, Texas) | 67% |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for J1956, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 8,231 | 1,124 | $0.95 | $0.75 |
| 2023 | 7,270 | 974 | $0.89 | $0.71 |
| 2024 | 6,250 | 847 | $0.96 | $0.76 |
States with the most J1956 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Florida | 3,210 | $0.77 |
| California | 439 | $0.76 |
| Texas | 323 | $0.76 |
| Georgia | 224 | $0.76 |
| Michigan | 223 | $0.73 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 4 | Clinical: Data |
| practitioner claims | 4 | Clinical: Data |
What changed for J1956
- 1999-01-01: J1956 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 J1956?
J1956 is the HCPCS Level II code for injection, levofloxacin, 250 mg. Short descriptor: "Levofloxacin injection".
How much does Medicare pay for J1956?
In 2024, the average Medicare payment was $0.76 per service (average allowed $0.96).
Does Medicare cover J1956?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
How many units of J1956 can be billed per day?
4 on outpatient hospital claims; 4 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 J1956
- Watch J1956 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for J1956
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.