J2272 HCPCS code: Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg
J2272 is the HCPCS Level II code for injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg. In 2024 Medicare paid an average of $4.84 per service for J2272 across 186 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 320 per day on DME suppliers. Medicare volume fell 11% from 2023 to 2024 (208 to 186 services). In 2024, about 71 clinicians billed Medicare for J2272 for 87 beneficiaries.
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 | 2023-01-01 |
| Last action effective | 2024-07-01 |
Who bills J2272 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 71 |
| Medicare beneficiaries | 87 |
| States with claims | 2 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for J2272, 2023–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2023 | 208 | 48 | $6.85 | $5.38 |
| 2024 | 186 | 87 | $6.19 | $4.84 |
States with the most J2272 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Illinois | 43 | $5.16 |
| Massachusetts | 14 | $4.23 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 320 | Clinical: Data |
| outpatient hospital claims | 15 | Clinical: Data |
| practitioner claims | 9 | Clinical: Data |
What changed for J2272
- 2023-01-01: J2272 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 J2272?
J2272 is the HCPCS Level II code for injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg. Short descriptor: "Inj, morphine (fresenius)".
How much does Medicare pay for J2272?
In 2024, the average Medicare payment was $4.84 per service (average allowed $6.19).
Does Medicare cover J2272?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
How many units of J2272 can be billed per day?
320 on DME suppliers; 15 on outpatient hospital claims; 9 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
- J2248 — Injection, micafungin sodium, 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
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Next steps
- Run a reimbursement report for a device billed under J2272
- Watch J2272 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for J2272
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.