J7342 HCPCS code: Instillation, ciprofloxacin otic suspension, 6 mg
J7342 is the HCPCS Level II code for instillation, ciprofloxacin otic suspension, 6 mg. In 2024 Medicare paid an average of $39.72 per service for J7342 across 13 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 10 per day on outpatient hospital claims. Medicare volume fell 92% from 2022 to 2024 (160 to 13 services). In 2024, about 4 clinicians billed Medicare for J7342 for 13 beneficiaries.
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 | 2017-01-01 |
| Last action effective | 2017-01-01 |
Who bills J7342 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 4 |
| Medicare beneficiaries | 13 |
| States with claims | 1 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for J7342, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 160 | 28 | $28.63 | $22.23 |
| 2023 | 54 | 17 | $26.54 | $20.48 |
| 2024 | 13 | 13 | $49.85 | $39.72 |
States with the most J7342 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Kansas | 12 | $41.07 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 10 | Prescribing Information |
| practitioner claims | 10 | Prescribing Information |
What changed for J7342
- 2017-01-01: J7342 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 J7342?
J7342 is the HCPCS Level II code for instillation, ciprofloxacin otic suspension, 6 mg. Short descriptor: "Ciprofloxacin otic susp 6 mg".
How much does Medicare pay for J7342?
In 2024, the average Medicare payment was $39.72 per service (average allowed $49.85).
Does Medicare cover J7342?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
How many units of J7342 can be billed per day?
10 on outpatient hospital claims; 10 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
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Next steps
- Run a reimbursement report for a device billed under J7342
- Watch J7342 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for J7342
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.