J7060 HCPCS code: 5% dextrose/water (500 ml = 1 unit)
J7060 is the HCPCS Level II code for 5% dextrose/water (500 ml = 1 unit). In 2024 Medicare paid an average of $1.40 per service for J7060 across 29,369 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 10 per day on outpatient hospital claims. Medicare volume rose 15% from 2022 to 2024 (25,485 to 29,369 services). In 2024, about 1,164 clinicians billed Medicare for J7060 for 3,822 beneficiaries; California, Florida, New Jersey accounted for 66% of services.
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 | 1985-01-01 |
| Last action effective | 1997-01-01 |
Who bills J7060 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 1,164 |
| Medicare beneficiaries | 3,822 |
| States with claims | 33 |
| Share of services in top 3 states (California, Florida, New Jersey) | 66% |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for J7060, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 25,485 | 3,615 | $1.74 | $1.38 |
| 2023 | 28,905 | 3,809 | $1.67 | $1.32 |
| 2024 | 29,369 | 3,822 | $1.77 | $1.40 |
States with the most J7060 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| California | 7,606 | $1.40 |
| Florida | 7,092 | $1.41 |
| New Jersey | 4,191 | $1.39 |
| New York | 3,117 | $1.38 |
| Minnesota | 872 | $1.40 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 10 | Clinical: Data |
| practitioner claims | 10 | Clinical: Data |
What changed for J7060
- 1985-01-01: J7060 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 J7060?
J7060 is the HCPCS Level II code for 5% dextrose/water (500 ml = 1 unit). Short descriptor: "5% dextrose/water".
How much does Medicare pay for J7060?
In 2024, the average Medicare payment was $1.40 per service (average allowed $1.77).
Does Medicare cover J7060?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
How many units of J7060 can be billed per day?
10 on outpatient hospital claims; 10 on practitioner claims (NCCI medically unlikely edits).
Related J70 codes
- J7030 — Infusion, normal saline solution , 1000 cc
- J7040 — Infusion, normal saline solution, sterile (500 ml = 1 unit)
- J7042 — 5% dextrose/normal saline (500 ml = 1 unit)
- J7050 — Infusion, normal saline solution, 250 cc
- J7070 — Infusion, d5w, 1000 cc
Building a device that would bill under a code like this? Caduvo matches a device description to HCPCS/CPT codes, Medicare coverage and payment, and the FDA pathway in one report.
Next steps
- Run a reimbursement report for a device billed under J7060
- Watch J7060 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for J7060
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.