J3105 HCPCS code: Injection, terbutaline sulfate, up to 1 mg
J3105 is the HCPCS Level II code for injection, terbutaline sulfate, up to 1 mg. In 2024 Medicare paid an average of $3.58 per service for J3105 across 46 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 4 per day on outpatient hospital claims. Medicare volume fell 64% from 2022 to 2024 (127 to 46 services). In 2024, about 10 clinicians billed Medicare for J3105 for 27 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 | 1987-01-01 |
| Last action effective | 1997-01-01 |
Who bills J3105 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 10 |
| Medicare beneficiaries | 27 |
| States with claims | 1 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for J3105, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 127 | 62 | $4.16 | $3.22 |
| 2023 | 59 | 41 | $2.63 | $2.02 |
| 2024 | 46 | 27 | $4.66 | $3.58 |
States with the most J3105 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Ohio | 22 | $4.25 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 4 | Clinical: Data |
| practitioner claims | 2 | Clinical: Data |
What changed for J3105
- 1987-01-01: J3105 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 J3105?
J3105 is the HCPCS Level II code for injection, terbutaline sulfate, up to 1 mg. Short descriptor: "Terbutaline sulfate inj".
How much does Medicare pay for J3105?
In 2024, the average Medicare payment was $3.58 per service (average allowed $4.66).
Does Medicare cover J3105?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
How many units of J3105 can be billed per day?
4 on outpatient hospital claims; 2 on practitioner claims (NCCI medically unlikely edits).
Related J31 codes
- J3101 — Injection, tenecteplase, 1 mg
- J3110 — Injection, teriparatide, 10 mcg
- J3111 — Injection, romosozumab-aqqg, 1 mg
- J3120 — Injection, testosterone enanthate, up to 100 mg
- J3121 — Injection, testosterone enanthate, 1 mg
- J3130 — Injection, testosterone enanthate, up to 200 mg
- J3140 — Injection, testosterone suspension, up to 50 mg
- J3145 — Injection, testosterone undecanoate, 1 mg
- J3150 — Injection, testosterone propionate, up to 100 mg
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Next steps
- Run a reimbursement report for a device billed under J3105
- Watch J3105 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for J3105
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.