J2675 HCPCS code: Injection, progesterone, per 50 mg
J2675 is the HCPCS Level II code for injection, progesterone, per 50 mg. In 2024 Medicare paid an average of $0.56 per service for J2675 across 1,003 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 1 per day on outpatient hospital claims. Medicare volume rose 26% from 2022 to 2024 (798 to 1,003 services). In 2024, about 21 clinicians billed Medicare for J2675 for 147 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 | 2002-07-01 |
Who bills J2675 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 21 |
| Medicare beneficiaries | 147 |
| States with claims | 2 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for J2675, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 798 | 138 | $1.09 | $0.78 |
| 2023 | 840 | 138 | $0.92 | $0.67 |
| 2024 | 1,003 | 147 | $0.75 | $0.56 |
States with the most J2675 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| California | 829 | $0.56 |
| Missouri | 105 | $0.56 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 1 | Prescribing Information |
| practitioner claims | 1 | Prescribing Information |
What changed for J2675
- 1986-01-01: J2675 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 J2675?
J2675 is the HCPCS Level II code for injection, progesterone, per 50 mg. Short descriptor: "Inj progesterone per 50 mg".
How much does Medicare pay for J2675?
In 2024, the average Medicare payment was $0.56 per service (average allowed $0.75).
Does Medicare cover J2675?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
How many units of J2675 can be billed per day?
1 on outpatient hospital claims; 1 on practitioner claims (NCCI medically unlikely edits).
Related J26 codes
- J2601 — Injection, vasopressin (baxter), 1 unit
- J2650 — Injection, prednisolone acetate, up to 1 ml
- J2670 — Injection, tolazoline hcl, up to 25 mg
- J2679 — Injection, fluphenazine hcl, 1.25 mg
- J2680 — Injection, fluphenazine decanoate, up to 25 mg
- J2690 — Injection, procainamide hcl, up to 1 gm
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 J2675
- Watch J2675 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for J2675
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.