J2562 HCPCS code: Injection, plerixafor, 1 mg
J2562 is the HCPCS Level II code for injection, plerixafor, 1 mg. In 2024 Medicare paid an average of $59.55 per service for J2562 across 5,633 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 48 per day on outpatient hospital claims. Medicare volume fell 14% from 2022 to 2024 (6,550 to 5,633 services). In 2024, about 62 clinicians billed Medicare for J2562 for 111 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 | 2010-01-01 |
| Last action effective | 2010-01-01 |
Who bills J2562 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 62 |
| Medicare beneficiaries | 111 |
| States with claims | 4 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for J2562, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 6,550 | 157 | $339.78 | $270.97 |
| 2023 | 6,508 | 146 | $336.67 | $268.34 |
| 2024 | 5,633 | 111 | $74.82 | $59.55 |
States with the most J2562 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Florida | 2,241 | $24.04 |
| New Jersey | 1,260 | $58.89 |
| Missouri | 788 | $115.28 |
| Virginia | 360 | $97.46 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 48 | CMS Policy |
| practitioner claims | 48 | CMS Policy |
What changed for J2562
- 2010-01-01: J2562 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 J2562?
J2562 is the HCPCS Level II code for injection, plerixafor, 1 mg. Short descriptor: "Plerixafor injection".
How much does Medicare pay for J2562?
In 2024, the average Medicare payment was $59.55 per service (average allowed $74.82).
Does Medicare cover J2562?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
How many units of J2562 can be billed per day?
48 on outpatient hospital claims; 48 on practitioner claims (NCCI medically unlikely edits).
Related J25 codes
- J2501 — Injection, paricalcitol, 1 mcg
- 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
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Next steps
- Run a reimbursement report for a device billed under J2562
- Watch J2562 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for J2562
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.