J2782 HCPCS code: Injection, avacincaptad pegol, 0.1 mg
J2782 is the HCPCS Level II code for injection, avacincaptad pegol, 0.1 mg. In 2024 Medicare paid an average of $86.22 per service for J2782 across 1,736,751 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 40 per day on DME suppliers. In 2024, about 1,666 clinicians billed Medicare for J2782 for 18,141 beneficiaries; Texas, Florida, California accounted for 37% of services.
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 | 2024-04-01 |
| Last action effective | 2024-04-01 |
Who bills J2782 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 1,666 |
| Medicare beneficiaries | 18,141 |
| States with claims | 46 |
| Share of services in top 3 states (Texas, Florida, California) | 37% |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for J2782, 2024–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2024 | 1,736,751 | 18,141 | $108.21 | $86.22 |
States with the most J2782 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Texas | 291,513 | $86.30 |
| Florida | 241,264 | $86.44 |
| California | 105,752 | $86.15 |
| Virginia | 92,286 | $86.15 |
| Ohio | 66,416 | $86.17 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 40 | CMS Policy |
| outpatient hospital claims | 40 | CMS Policy |
| practitioner claims | 40 | CMS Policy |
What changed for J2782
- 2024-04-01: J2782 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 J2782?
J2782 is the HCPCS Level II code for injection, avacincaptad pegol, 0.1 mg. Short descriptor: "Inj avacincaptad pegol 0.1mg".
How much does Medicare pay for J2782?
In 2024, the average Medicare payment was $86.22 per service (average allowed $108.21).
Does Medicare cover J2782?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
How many units of J2782 can be billed per day?
40 on DME suppliers; 40 on outpatient hospital claims; 40 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
- J2765 — Injection, metoclopramide hcl, up to 10 mg
- J2770 — Injection, quinupristin/dalfopristin, 500 mg (150/350)
- J2777 — Injection, faricimab-svoa, 0.1 mg
- J2778 — Injection, ranibizumab, 0.1 mg
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Next steps
- Run a reimbursement report for a device billed under J2782
- Watch J2782 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for J2782
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.