J3360 HCPCS code: Injection, diazepam, up to 5 mg
J3360 is the HCPCS Level II code for injection, diazepam, up to 5 mg. In 2024 Medicare paid an average of $4.38 per service for J3360 across 3,105 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 6 per day on outpatient hospital claims. Medicare volume fell 20% from 2022 to 2024 (3,865 to 3,105 services). In 2024, about 254 clinicians billed Medicare for J3360 for 1,310 beneficiaries; California, Arizona, Texas accounted for 64% 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 J3360 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 254 |
| Medicare beneficiaries | 1,310 |
| States with claims | 15 |
| Share of services in top 3 states (California, Arizona, Texas) | 64% |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for J3360, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 3,865 | 1,800 | $6.11 | $4.76 |
| 2023 | 3,069 | 1,247 | $6.81 | $5.26 |
| 2024 | 3,105 | 1,310 | $5.64 | $4.38 |
States with the most J3360 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| California | 1,051 | $4.51 |
| Arizona | 501 | $4.28 |
| Texas | 294 | $4.32 |
| New Jersey | 208 | $4.04 |
| North Carolina | 196 | $4.41 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 6 | Prescribing Information |
| practitioner claims | 6 | Prescribing Information |
What changed for J3360
- 1982-01-01: J3360 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 J3360?
J3360 is the HCPCS Level II code for injection, diazepam, up to 5 mg. Short descriptor: "Diazepam injection".
How much does Medicare pay for J3360?
In 2024, the average Medicare payment was $4.38 per service (average allowed $5.64).
Does Medicare cover J3360?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
How many units of J3360 can be billed per day?
6 on outpatient hospital claims; 6 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
- J3303 — Injection, triamcinolone hexacetonide, 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
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Next steps
- Run a reimbursement report for a device billed under J3360
- Watch J3360 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for J3360
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.