J2440 HCPCS code: Injection, papaverine hcl, up to 60 mg
J2440 is the HCPCS Level II code for injection, papaverine hcl, up to 60 mg. In 2024 Medicare paid an average of $25.15 per service for J2440 across 126 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 44% from 2022 to 2024 (224 to 126 services). In 2024, about 27 clinicians billed Medicare for J2440 for 121 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 | 1986-01-01 |
| Last action effective | 1997-01-01 |
Who bills J2440 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 27 |
| Medicare beneficiaries | 121 |
| States with claims | 4 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for J2440, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 224 | 196 | $2.94 | $2.27 |
| 2023 | 223 | 219 | $35.27 | $27.36 |
| 2024 | 126 | 121 | $31.79 | $25.15 |
States with the most J2440 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Virginia | 50 | $29.17 |
| Texas | 27 | $10.57 |
| Maryland | 19 | $30.28 |
| Delaware | 12 | $27.76 |
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 J2440
- 1986-01-01: J2440 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 J2440?
J2440 is the HCPCS Level II code for injection, papaverine hcl, up to 60 mg. Short descriptor: "Papaverin hcl injection".
How much does Medicare pay for J2440?
In 2024, the average Medicare payment was $25.15 per service (average allowed $31.79).
Does Medicare cover J2440?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
How many units of J2440 can be billed per day?
4 on outpatient hospital claims; 4 on practitioner claims (NCCI medically unlikely edits).
Related J24 codes
- J2400 — Injection, chloroprocaine hydrochloride, per 30 ml
- J2401 — Injection, chloroprocaine hydrochloride, per 1 mg
- J2402 — Injection, chloroprocaine hydrochloride (clorotekal), per 1 mg
- J2403 — Chloroprocaine hcl ophthalmic, 3% gel, 1 mg
- J2404 — Injection, nicardipine, 0.1 mg
- J2405 — Injection, ondansetron hydrochloride, per 1 mg
- J2406 — Injection, oritavancin (kimyrsa), 10 mg
- J2407 — Injection, oritavancin (orbactiv), 10 mg
- J2410 — Injection, oxymorphone hcl, up to 1 mg
- J2425 — Injection, palifermin, 50 micrograms
- J2426 — Injection, paliperidone palmitate extended release (invega sustenna), 1 mg
- J2427 — Injection, paliperidone palmitate extended release (invega hafyera, or invega trinza), 1 mg
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Next steps
- Run a reimbursement report for a device billed under J2440
- Watch J2440 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for J2440
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.