J7336 HCPCS code: Capsaicin 8% patch, per square centimeter
J7336 is the HCPCS Level II code for capsaicin 8% patch, per square centimeter. In 2024 Medicare paid an average of $2.58 per service for J7336 across 7,700,977 services. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. The NCCI unit limit is 1120 per day on outpatient hospital claims. Medicare volume rose 147% from 2022 to 2024 (3,123,038 to 7,700,977 services). In 2024, about 1,271 clinicians billed Medicare for J7336 for 4,240 beneficiaries; Florida, Pennsylvania, North Carolina accounted for 26% of services.
Code details
| Field | Value |
|---|---|
| Section | J codes — Drugs administered other than oral method |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 51 — Drug or biological (priced per ASP/average sales price rules) |
| BETOS category | O1E — Other drugs |
| Added | 2015-01-01 |
| Last action effective | 2015-01-01 |
Who bills J7336 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 1,271 |
| Medicare beneficiaries | 4,240 |
| States with claims | 37 |
| Share of services in top 3 states (Florida, Pennsylvania, North Carolina) | 26% |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for J7336, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 3,123,038 | 2,203 | $3.18 | $2.53 |
| 2023 | 6,203,846 | 3,675 | $3.18 | $2.54 |
| 2024 | 7,700,977 | 4,240 | $3.24 | $2.58 |
States with the most J7336 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Florida | 689,803 | $2.57 |
| Pennsylvania | 669,410 | $2.59 |
| North Carolina | 630,321 | $2.57 |
| Texas | 597,678 | $2.58 |
| South Carolina | 555,963 | $2.59 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 1120 | Prescribing Information |
| practitioner claims | 1120 | Prescribing Information |
What changed for J7336
- 2015-01-01: J7336 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 J7336?
J7336 is the HCPCS Level II code for capsaicin 8% patch, per square centimeter. Short descriptor: "Capsaicin 8% patch".
How much does Medicare pay for J7336?
In 2024, the average Medicare payment was $2.58 per service (average allowed $3.24).
Does Medicare cover J7336?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
How many units of J7336 can be billed per day?
1120 on outpatient hospital claims; 1120 on practitioner claims (NCCI medically unlikely edits).
Related J73 codes
- J7300 — Intrauterine copper contraceptive (paragard)
- J7301 — Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg
- J7302 — Levonorgestrel-releasing intrauterine contraceptive system, 52 mg
- J7303 — Contraceptive supply, hormone containing vaginal ring, each
- J7304 — Contraceptive supply, hormone containing patch, each
- J7306 — Levonorgestrel (contraceptive) implant system, including implants and supplies
- J7307 — Etonogestrel (contraceptive) implant system, including implant and supplies
- J7308 — Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)
- J7309 — Methyl aminolevulinate (mal) for topical administration, 16.8%, 1 gram
- J7310 — Ganciclovir, 4.5 mg, long-acting implant
- J7311 — Injection, fluocinolone acetonide, intravitreal implant (retisert), 0.01 mg
- J7312 — Injection, dexamethasone, intravitreal implant, 0.1 mg
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 J7336
- Watch J7336 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for J7336
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.