J3415 HCPCS code: Injection, pyridoxine hcl, 100 mg
J3415 is the HCPCS Level II code for injection, pyridoxine hcl, 100 mg. In 2024 Medicare paid an average of $10.63 per service for J3415 across 105,351 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 6 per day on outpatient hospital claims. Medicare volume fell 68% from 2022 to 2024 (324,864 to 105,351 services). In 2024, about 278 clinicians billed Medicare for J3415 for 5,337 beneficiaries; Oklahoma, California, Virginia accounted for 65% 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 J3415 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 278 |
| Medicare beneficiaries | 5,337 |
| States with claims | 25 |
| Share of services in top 3 states (Oklahoma, California, Virginia) | 65% |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for J3415, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 324,864 | 8,549 | $8.58 | $6.78 |
| 2023 | 152,258 | 6,341 | $11.12 | $8.73 |
| 2024 | 105,351 | 5,337 | $13.53 | $10.63 |
States with the most J3415 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Oklahoma | 37,792 | $11.02 |
| California | 21,085 | $10.47 |
| Virginia | 9,703 | $10.60 |
| Florida | 7,167 | $8.27 |
| New York | 5,745 | $10.61 |
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 J3415
- 2004-01-01: J3415 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 J3415?
J3415 is the HCPCS Level II code for injection, pyridoxine hcl, 100 mg. Short descriptor: "Pyridoxine hcl 100 mg".
How much does Medicare pay for J3415?
In 2024, the average Medicare payment was $10.63 per service (average allowed $13.53).
Does Medicare cover J3415?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
How many units of J3415 can be billed per day?
6 on outpatient hospital claims; 6 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
- J3411 — Injection, thiamine 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 J3415
- Watch J3415 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for J3415
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.