J2800 HCPCS code: Injection, methocarbamol, up to 10 ml
J2800 is the HCPCS Level II code for injection, methocarbamol, up to 10 ml. In 2024 Medicare paid an average of $4.80 per service for J2800 across 1,089 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 3 per day on outpatient hospital claims. Medicare volume fell 10% from 2022 to 2024 (1,213 to 1,089 services). In 2024, about 118 clinicians billed Medicare for J2800 for 579 beneficiaries; Louisiana, Ohio, Alabama accounted for 58% 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 J2800 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 118 |
| Medicare beneficiaries | 579 |
| States with claims | 10 |
| Share of services in top 3 states (Louisiana, Ohio, Alabama) | 58% |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for J2800, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 1,213 | 612 | $6.20 | $4.73 |
| 2023 | 1,526 | 719 | $5.71 | $4.32 |
| 2024 | 1,089 | 579 | $6.44 | $4.80 |
States with the most J2800 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Louisiana | 219 | $5.25 |
| Ohio | 188 | $4.72 |
| Alabama | 168 | $4.97 |
| Georgia | 126 | $4.87 |
| Texas | 87 | $4.29 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 3 | Prescribing Information |
| practitioner claims | 3 | Prescribing Information |
What changed for J2800
- 1982-01-01: J2800 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 J2800?
J2800 is the HCPCS Level II code for injection, methocarbamol, up to 10 ml. Short descriptor: "Methocarbamol injection".
How much does Medicare pay for J2800?
In 2024, the average Medicare payment was $4.80 per service (average allowed $6.44).
Does Medicare cover J2800?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
How many units of J2800 can be billed per day?
3 on outpatient hospital claims; 3 on practitioner claims (NCCI medically unlikely edits).
Related J28 codes
- J2801 — Injection, risperidone (rykindo), 0.5 mg
- J2802 — Injection, romiplostim, 1 microgram
- J2804 — Injection, rifampin, 1 mg
- J2805 — Injection, sincalide, 5 micrograms
- J2806 — Injection, sincalide (maia), not therapeutically equivalent to j2805, 5 micrograms
- J2810 — Injection, theophylline, per 40 mg
- J2820 — Injection, sargramostim (gm-csf), 50 mcg
- J2840 — Injection, sebelipase alfa, 1 mg
- J2850 — Injection, secretin, synthetic, human, 1 microgram
- J2860 — Injection, siltuximab, 10 mg
- J2865 — Injection, sulfamethoxazole 5 mg and trimethoprim 1 mg
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Next steps
- Run a reimbursement report for a device billed under J2800
- Watch J2800 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for J2800
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.