J2799 HCPCS code: Injection, risperidone (uzedy), 1 mg
J2799 is the HCPCS Level II code for injection, risperidone (uzedy), 1 mg. In 2024 Medicare paid an average of $6.81 per service for J2799 across 1,332 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 250 per day on DME suppliers. In 2024, about 24 clinicians billed Medicare for J2799 for 31 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 | 2024-01-01 |
| Last action effective | 2024-01-01 |
Who bills J2799 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 24 |
| Medicare beneficiaries | 31 |
| States with claims | 0 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for J2799, 2024–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2024 | 1,332 | 31 | $8.57 | $6.81 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 250 | Prescribing Information |
| outpatient hospital claims | 250 | Prescribing Information |
| practitioner claims | 250 | Prescribing Information |
What changed for J2799
- 2024-01-01: J2799 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 J2799?
J2799 is the HCPCS Level II code for injection, risperidone (uzedy), 1 mg. Short descriptor: "Inj, uzedy, 1 mg".
How much does Medicare pay for J2799?
In 2024, the average Medicare payment was $6.81 per service (average allowed $8.57).
Does Medicare cover J2799?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
How many units of J2799 can be billed per day?
250 on DME suppliers; 250 on outpatient hospital claims; 250 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
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 J2799
- Watch J2799 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for J2799
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.