J2501 HCPCS code: Injection, paricalcitol, 1 mcg
J2501 is the HCPCS Level II code for injection, paricalcitol, 1 mcg. In 2024 Medicare paid an average of $0.34 per service for J2501 across 17 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 25 per day on outpatient hospital claims. Medicare volume fell 6% from 2022 to 2024 (18 to 17 services). In 2024, about 7 clinicians billed Medicare for J2501 for 12 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 | 2003-01-01 |
| Last action effective | 2003-01-01 |
Who bills J2501 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 7 |
| Medicare beneficiaries | 12 |
| States with claims | 0 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for J2501, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 18 | 12 | $0.60 | $0.45 |
| 2023 | 28 | 22 | $0.47 | $0.34 |
| 2024 | 17 | 12 | $0.62 | $0.34 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 25 | Clinical: Data |
| practitioner claims | 2 | Clinical: Data |
What changed for J2501
- 2003-01-01: J2501 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 J2501?
J2501 is the HCPCS Level II code for injection, paricalcitol, 1 mcg. Short descriptor: "Paricalcitol".
How much does Medicare pay for J2501?
In 2024, the average Medicare payment was $0.34 per service (average allowed $0.62).
Does Medicare cover J2501?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
How many units of J2501 can be billed per day?
25 on outpatient hospital claims; 2 on practitioner claims (NCCI medically unlikely edits).
Related J25 codes
- J2502 — Injection, pasireotide long acting, 1 mg
- J2503 — Injection, pegaptanib sodium, 0.3 mg
- J2504 — Injection, pegademase bovine, 25 iu
- J2505 — Injection, pegfilgrastim, 6 mg
- J2506 — Injection, pegfilgrastim, excludes biosimilar, 0.5 mg
- J2507 — Injection, pegloticase, 1 mg
- J2508 — Injection, pegunigalsidase alfa-iwxj, 1 mg
- J2510 — Injection, penicillin g procaine, aqueous, up to 600,000 units
- J2513 — Injection, pentastarch, 10% solution, 100 ml
- J2515 — Injection, pentobarbital sodium, per 50 mg
- J2540 — Injection, penicillin g potassium, up to 600,000 units
- J2543 — Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams)
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 J2501
- Watch J2501 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for J2501
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.