J3430 HCPCS code: Injection, phytonadione (vitamin k), per 1 mg
J3430 is the HCPCS Level II code for injection, phytonadione (vitamin k), per 1 mg. In 2024 Medicare paid an average of $2.08 per service for J3430 across 2,022 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 50 per day on outpatient hospital claims. Medicare volume fell 55% from 2022 to 2024 (4,474 to 2,022 services). In 2024, about 170 clinicians billed Medicare for J3430 for 191 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 | 1982-01-01 |
| Last action effective | 1997-01-01 |
Who bills J3430 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 170 |
| Medicare beneficiaries | 191 |
| States with claims | 4 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for J3430, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 4,474 | 430 | $2.97 | $2.26 |
| 2023 | 2,961 | 288 | $2.67 | $2.03 |
| 2024 | 2,022 | 191 | $2.70 | $2.08 |
States with the most J3430 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| New York | 318 | $2.17 |
| Florida | 311 | $2.15 |
| California | 187 | $2.15 |
| Virginia | 98 | $2.20 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 50 | Prescribing Information |
| practitioner claims | 25 | Prescribing Information |
What changed for J3430
- 1982-01-01: J3430 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 J3430?
J3430 is the HCPCS Level II code for injection, phytonadione (vitamin k), per 1 mg. Short descriptor: "Vitamin k phytonadione inj".
How much does Medicare pay for J3430?
In 2024, the average Medicare payment was $2.08 per service (average allowed $2.70).
Does Medicare cover J3430?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
How many units of J3430 can be billed per day?
50 on outpatient hospital claims; 25 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
- J3410 — Injection, hydroxyzine hcl, up to 25 mg
- J3411 — Injection, thiamine hcl, 100 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
- J3465 — Injection, voriconazole, 10 mg
- J3470 — Injection, hyaluronidase, up to 150 units
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Next steps
- Run a reimbursement report for a device billed under J3430
- Watch J3430 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for J3430
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.