J2765 HCPCS code: Injection, metoclopramide hcl, up to 10 mg
J2765 is the HCPCS Level II code for injection, metoclopramide hcl, up to 10 mg. In 2024 Medicare paid an average of $0.76 per service for J2765 across 3,541 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 18 per day on outpatient hospital claims. Medicare volume fell 18% from 2022 to 2024 (4,302 to 3,541 services). In 2024, about 959 clinicians billed Medicare for J2765 for 1,688 beneficiaries; New York, California, Florida accounted for 54% of services.
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 | 1982-01-01 |
| Last action effective | 1997-01-01 |
Who bills J2765 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 959 |
| Medicare beneficiaries | 1,688 |
| States with claims | 29 |
| Share of services in top 3 states (New York, California, Florida) | 54% |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for J2765, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 4,302 | 1,968 | $1.01 | $0.78 |
| 2023 | 3,869 | 1,863 | $1.07 | $0.83 |
| 2024 | 3,541 | 1,688 | $0.98 | $0.76 |
States with the most J2765 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| New York | 708 | $0.78 |
| California | 561 | $0.78 |
| Florida | 555 | $0.76 |
| Virginia | 338 | $0.76 |
| Texas | 176 | $0.71 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 18 | Clinical: Society Comment |
| practitioner claims | 10 | Clinical: Data |
What changed for J2765
- 1982-01-01: J2765 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 J2765?
J2765 is the HCPCS Level II code for injection, metoclopramide hcl, up to 10 mg. Short descriptor: "Metoclopramide hcl injection".
How much does Medicare pay for J2765?
In 2024, the average Medicare payment was $0.76 per service (average allowed $0.98).
Does Medicare cover J2765?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
How many units of J2765 can be billed per day?
18 on outpatient hospital claims; 10 on practitioner claims (NCCI medically unlikely edits).
Related J27 codes
- J2700 — Injection, oxacillin sodium, up to 250 mg
- J2704 — Injection, propofol, 10 mg
- J2710 — Injection, neostigmine methylsulfate, up to 0.5 mg
- J2720 — Injection, protamine sulfate, per 10 mg
- J2724 — Injection, protein c concentrate, intravenous, human, 10 iu
- J2725 — Injection, protirelin, per 250 mcg
- J2730 — Injection, pralidoxime chloride, up to 1 gm
- J2760 — Injection, phentolamine mesylate, up to 5 mg
- J2770 — Injection, quinupristin/dalfopristin, 500 mg (150/350)
- J2777 — Injection, faricimab-svoa, 0.1 mg
- J2778 — Injection, ranibizumab, 0.1 mg
- J2779 — Injection, ranibizumab, via intravitreal implant (susvimo), 0.1 mg
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Next steps
- Run a reimbursement report for a device billed under J2765
- Watch J2765 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for J2765
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.