J2020 HCPCS code: Injection, linezolid, 200 mg
J2020 is the HCPCS Level II code for injection, linezolid, 200 mg. In 2024 Medicare paid an average of $2.41 per service for J2020 across 347 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 6 per day on outpatient hospital claims. Medicare volume fell 59% from 2022 to 2024 (842 to 347 services). In 2024, about 11 clinicians billed Medicare for J2020 for 20 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 | 2002-01-01 |
| Last action effective | 2018-01-01 |
Who bills J2020 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 11 |
| Medicare beneficiaries | 20 |
| States with claims | 0 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for J2020, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 842 | 14 | $5.14 | $4.10 |
| 2023 | 1,363 | 27 | $3.36 | $2.68 |
| 2024 | 347 | 20 | $3.03 | $2.41 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 6 | Prescribing Information |
| practitioner claims | 6 | Prescribing Information |
What changed for J2020
- 2002-01-01: J2020 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 J2020?
J2020 is the HCPCS Level II code for injection, linezolid, 200 mg. Short descriptor: "Linezolid injection".
How much does Medicare pay for J2020?
In 2024, the average Medicare payment was $2.41 per service (average allowed $3.03).
Does Medicare cover J2020?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
How many units of J2020 can be billed per day?
6 on outpatient hospital claims; 6 on practitioner claims (NCCI medically unlikely edits).
Related J20 codes
- J2001 — Injection, lidocaine hcl for intravenous infusion, 10 mg
- J2002 — Injection, lidocaine hcl in 5% dextrose, 1 mg
- J2003 — Injection, lidocaine hydrochloride, 1 mg
- J2004 — Injection, lidocaine hcl with epinephrine, 1 mg
- J2010 — Injection, lincomycin hcl, up to 300 mg
- J2021 — Injection, linezolid (hospira), not therapeutically equivalent to j2020, 200 mg
- J2060 — Injection, lorazepam, 2 mg
- J2062 — Loxapine for inhalation, 1 mg
Building a device that would bill under a code like this? Caduvo matches a device description to HCPCS/CPT codes, Medicare coverage and payment, and the FDA pathway in one report.
Next steps
- Run a reimbursement report for a device billed under J2020
- Watch J2020 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for J2020
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.