J3303 HCPCS code: Injection, triamcinolone hexacetonide, per 5 mg
J3303 is the HCPCS Level II code for injection, triamcinolone hexacetonide, per 5 mg. In 2024 Medicare paid an average of $7.06 per service for J3303 across 78 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 24 per day on outpatient hospital claims. Medicare volume fell 97% from 2022 to 2024 (2,302 to 78 services). In 2024, about 15 clinicians billed Medicare for J3303 for 16 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 | 1991-01-01 |
| Last action effective | 1997-01-01 |
Who bills J3303 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 15 |
| Medicare beneficiaries | 16 |
| States with claims | 0 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for J3303, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 2,302 | 445 | $4.34 | $3.33 |
| 2023 | 101 | 19 | $5.27 | $3.90 |
| 2024 | 78 | 16 | $10.39 | $7.06 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 24 | Clinical: Data |
| practitioner claims | 24 | Clinical: Data |
What changed for J3303
- 1991-01-01: J3303 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 J3303?
J3303 is the HCPCS Level II code for injection, triamcinolone hexacetonide, per 5 mg. Short descriptor: "Triamcinolone hexacetonl inj".
How much does Medicare pay for J3303?
In 2024, the average Medicare payment was $7.06 per service (average allowed $10.39).
Does Medicare cover J3303?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
How many units of J3303 can be billed per day?
24 on outpatient hospital claims; 24 on practitioner claims (NCCI medically unlikely edits).
Related J33 codes
- J3300 — Injection, triamcinolone acetonide (triesence), preservative free, 1 mg
- J3301 — Injection, triamcinolone acetonide, not otherwise specified, 10 mg
- J3302 — Injection, triamcinolone diacetate, per 5 mg
- J3304 — Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg
- J3305 — Injection, trimetrexate glucuronate, per 25 mg
- J3310 — Injection, perphenazine, up to 5 mg
- J3315 — Injection, triptorelin pamoate, 3.75 mg
- J3316 — Injection, triptorelin, extended-release, 3.75 mg
- J3320 — Injection, spectinomycin dihydrochloride, up to 2 gm
- J3350 — Injection, urea, up to 40 gm
- J3355 — Injection, urofollitropin, 75 iu
- J3357 — Ustekinumab, for subcutaneous injection, 1 mg
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Next steps
- Run a reimbursement report for a device billed under J3303
- Watch J3303 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for J3303
Sources: CMS HCPCS Level II release October 2026; 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.