J2248 HCPCS code: Injection, micafungin sodium, 1 mg
J2248 is the HCPCS Level II code for injection, micafungin sodium, 1 mg. In 2024 Medicare paid an average of $0.43 per service for J2248 across 465,876 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 rose 64% from 2022 to 2024 (283,996 to 465,876 services). In 2024, about 246 clinicians billed Medicare for J2248 for 261 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 | 2007-01-01 |
| Last action effective | 2016-01-01 |
Who bills J2248 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 246 |
| Medicare beneficiaries | 261 |
| States with claims | 4 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for J2248, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 283,996 | 190 | $0.72 | $0.57 |
| 2023 | 402,503 | 260 | $0.80 | $0.64 |
| 2024 | 465,876 | 261 | $0.55 | $0.43 |
States with the most J2248 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Florida | 153,650 | $0.45 |
| Georgia | 77,351 | $0.37 |
| Texas | 74,099 | $0.46 |
| Colorado | 37,210 | $0.41 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 300 | Clinical: Data |
| practitioner claims | 150 | Prescribing Information |
What changed for J2248
- 2007-01-01: J2248 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 J2248?
J2248 is the HCPCS Level II code for injection, micafungin sodium, 1 mg. Short descriptor: "Micafungin sodium injection".
How much does Medicare pay for J2248?
In 2024, the average Medicare payment was $0.43 per service (average allowed $0.55).
Does Medicare cover J2248?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
How many units of J2248 can be billed per day?
300 on outpatient hospital claims; 150 on practitioner claims (NCCI medically unlikely edits).
Related J22 codes
- J2210 — Injection, methylergonovine maleate, up to 0.2 mg
- J2212 — Injection, methylnaltrexone, 0.1 mg
- J2246 — Injection, micafungin in sodium (baxter), not therapeutically equivalent to j2248, 1 mg
- J2247 — Injection, micafungin sodium (par pharm) not thereapeutically equivalent to j2248, 1 mg
- J2249 — Injection, remimazolam, 1 mg
- J2250 — Injection, midazolam hydrochloride, per 1 mg
- J2251 — Injection, midazolam in 0.9% sodium chloride, intravenous, not therapeutically equivalent to j2250, 1 mg
- J2252 — Injection, midazolam in 0.8% sodium chloride, intravenous, not therapeutically equivalent to j2250, 1 mg
- J2253 — Injection, midazolam (seizalam), 1 mg
- J2260 — Injection, milrinone lactate, 5 mg
- J2265 — Injection, minocycline hydrochloride, 1 mg
- J2267 — Injection, mirikizumab-mrkz, 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 J2248
- Watch J2248 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for J2248
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.