J3471 HCPCS code: Injection, hyaluronidase, ovine, preservative free, per 1 usp unit (up to 999 usp units)
J3471 is the HCPCS Level II code for injection, hyaluronidase, ovine, preservative free, per 1 usp unit (up to 999 usp units). In 2024 Medicare paid an average of $0.39 per service for J3471 across 3,246 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 999 per day on outpatient hospital claims. Medicare volume fell 80% from 2022 to 2024 (16,039 to 3,246 services). In 2024, about 5 clinicians billed Medicare for J3471 for 16 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 | 2006-01-01 |
| Last action effective | 2006-01-01 |
Who bills J3471 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 5 |
| Medicare beneficiaries | 16 |
| States with claims | 1 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for J3471, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 16,039 | 34 | $0.48 | $0.38 |
| 2023 | 9,411 | 38 | $0.48 | $0.38 |
| 2024 | 3,246 | 16 | $0.49 | $0.39 |
States with the most J3471 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| New York | 2,600 | $0.39 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 999 | Code Descriptor / CPT Instruction |
| practitioner claims | 999 | Code Descriptor / CPT Instruction |
What changed for J3471
- 2006-01-01: J3471 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 J3471?
J3471 is the HCPCS Level II code for injection, hyaluronidase, ovine, preservative free, per 1 usp unit (up to 999 usp units). Short descriptor: "Ovine, up to 999 usp units".
How much does Medicare pay for J3471?
In 2024, the average Medicare payment was $0.39 per service (average allowed $0.49).
Does Medicare cover J3471?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
How many units of J3471 can be billed per day?
999 on outpatient hospital claims; 999 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
- J3430 — Injection, phytonadione (vitamin k), per 1 mg
- J3465 — Injection, voriconazole, 10 mg
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Next steps
- Run a reimbursement report for a device billed under J3471
- Watch J3471 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for J3471
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.