J3411 HCPCS code: Injection, thiamine hcl, 100 mg
J3411 is the HCPCS Level II code for injection, thiamine hcl, 100 mg. In 2024 Medicare paid an average of $1.65 per service for J3411 across 85,216 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 8 per day on outpatient hospital claims. Medicare volume fell 67% from 2022 to 2024 (255,060 to 85,216 services). In 2024, about 409 clinicians billed Medicare for J3411 for 3,925 beneficiaries; Oklahoma, California, Virginia accounted for 71% of services.
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 | 2004-01-01 |
| Last action effective | 2004-01-01 |
Who bills J3411 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 409 |
| Medicare beneficiaries | 3,925 |
| States with claims | 21 |
| Share of services in top 3 states (Oklahoma, California, Virginia) | 71% |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for J3411, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 255,060 | 7,700 | $2.67 | $2.09 |
| 2023 | 126,538 | 5,269 | $2.48 | $1.95 |
| 2024 | 85,216 | 3,925 | $2.08 | $1.65 |
States with the most J3411 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Oklahoma | 38,210 | $1.65 |
| California | 13,289 | $1.63 |
| Virginia | 8,505 | $1.72 |
| Colorado | 4,942 | $1.61 |
| Florida | 4,463 | $1.68 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 8 | Clinical: Data |
| practitioner claims | 4 | Clinical: Data |
What changed for J3411
- 2004-01-01: J3411 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 J3411?
J3411 is the HCPCS Level II code for injection, thiamine hcl, 100 mg. Short descriptor: "Thiamine hcl 100 mg".
How much does Medicare pay for J3411?
In 2024, the average Medicare payment was $1.65 per service (average allowed $2.08).
Does Medicare cover J3411?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
How many units of J3411 can be billed per day?
8 on outpatient hospital claims; 4 on practitioner claims (NCCI medically unlikely edits).
Related J34 codes
- J3400 — Injection, triflupromazine hcl, up to 20 mg
- J3401 — Beremagene geperpavec-svdt for topical administration, containing nominal 5 x 10^9 pfu/ml vector genomes, per 0.1 ml
- J3402 — Injection, remestemcel-l-rknd, per therapeutic dose
- J3403 — Revakinagene taroretcel-lwey, per implant
- J3404 — Injection, zopapogene imadenovec-drba suspension, per therapeutic dose
- J3405 — Injection, onasemnogene abeparvovec-brve, per treatment
- J3406 — Injection, omidubicel-onlv, per therapeutic dose
- J3410 — Injection, hydroxyzine hcl, up to 25 mg
- J3415 — Injection, pyridoxine hcl, 100 mg
- J3420 — Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg
- J3424 — Injection, hydroxocobalamin, intravenous, 25 mg
- J3425 — Injection, hydroxocobalamin, intramuscular, 10 mcg
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Next steps
- Run a reimbursement report for a device billed under J3411
- Watch J3411 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for J3411
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.