J3465 HCPCS code: Injection, voriconazole, 10 mg
J3465 is the HCPCS Level II code for injection, voriconazole, 10 mg. In 2024 Medicare paid an average of $0.65 per service for J3465 across 199 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 120 per day on outpatient hospital claims. Medicare volume fell 94% from 2022 to 2024 (3,302 to 199 services). In 2024, about 39 clinicians billed Medicare for J3465 for 40 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 | 2004-01-01 |
| Last action effective | 2019-01-01 |
Who bills J3465 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 39 |
| Medicare beneficiaries | 40 |
| States with claims | 0 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for J3465, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 3,302 | 46 | $1.20 | $0.95 |
| 2023 | 964 | 61 | $1.07 | $0.85 |
| 2024 | 199 | 40 | $0.82 | $0.65 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 120 | Clinical: Data |
| practitioner claims | 40 | Clinical: Data |
What changed for J3465
- 2004-01-01: J3465 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 J3465?
J3465 is the HCPCS Level II code for injection, voriconazole, 10 mg. Short descriptor: "Injection, voriconazole".
How much does Medicare pay for J3465?
In 2024, the average Medicare payment was $0.65 per service (average allowed $0.82).
Does Medicare cover J3465?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
How many units of J3465 can be billed per day?
120 on outpatient hospital claims; 40 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
- J3415 — Injection, pyridoxine hcl, 100 mg
- J3420 — Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg
- J3424 — Injection, hydroxocobalamin, intravenous, 25 mg
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Next steps
- Run a reimbursement report for a device billed under J3465
- Watch J3465 for fee, coverage and descriptor changes
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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.