J7070 HCPCS code: Infusion, d5w, 1000 cc
J7070 is the HCPCS Level II code for infusion, d5w, 1000 cc. In 2024 Medicare paid an average of $2.79 per service for J7070 across 1,719 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 7 per day on outpatient hospital claims. Medicare volume rose 41% from 2022 to 2024 (1,223 to 1,719 services). In 2024, about 174 clinicians billed Medicare for J7070 for 633 beneficiaries; California, Texas, Massachusetts accounted for 77% 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 | 1982-01-01 |
| Last action effective | 1997-01-01 |
Who bills J7070 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 174 |
| Medicare beneficiaries | 633 |
| States with claims | 8 |
| Share of services in top 3 states (California, Texas, Massachusetts) | 77% |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for J7070, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 1,223 | 451 | $3.55 | $2.80 |
| 2023 | 1,937 | 484 | $3.35 | $2.65 |
| 2024 | 1,719 | 633 | $3.53 | $2.79 |
States with the most J7070 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| California | 704 | $2.81 |
| Texas | 271 | $2.79 |
| Massachusetts | 147 | $2.85 |
| New York | 136 | $2.61 |
| Illinois | 87 | $2.87 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 7 | Clinical: Data |
| practitioner claims | 4 | Clinical: Data |
What changed for J7070
- 1982-01-01: J7070 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 J7070?
J7070 is the HCPCS Level II code for infusion, d5w, 1000 cc. Short descriptor: "D5w infusion".
How much does Medicare pay for J7070?
In 2024, the average Medicare payment was $2.79 per service (average allowed $3.53).
Does Medicare cover J7070?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
How many units of J7070 can be billed per day?
7 on outpatient hospital claims; 4 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
- J7060 — 5% dextrose/water (500 ml = 1 unit)
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 J7070
- Watch J7070 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for J7070
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.