J7345 HCPCS code: Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg
J7345 is the HCPCS Level II code for aminolevulinic acid hcl for topical administration, 10% gel, 10 mg. In 2024 Medicare paid an average of $1.31 per service for J7345 across 9,481,811 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 600 per day on DME suppliers. Medicare volume rose 26% from 2022 to 2024 (7,540,554 to 9,481,811 services). In 2024, about 2,444 clinicians billed Medicare for J7345 for 30,461 beneficiaries; California, Texas, New York accounted for 30% 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 | 2018-01-01 |
| Last action effective | 2018-01-01 |
Who bills J7345 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 2,444 |
| Medicare beneficiaries | 30,461 |
| States with claims | 47 |
| Share of services in top 3 states (California, Texas, New York) | 30% |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for J7345, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 7,540,554 | 25,695 | $1.57 | $1.24 |
| 2023 | 8,401,325 | 28,009 | $1.62 | $1.28 |
| 2024 | 9,481,811 | 30,461 | $1.66 | $1.31 |
States with the most J7345 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| California | 1,128,457 | $1.30 |
| Texas | 908,828 | $1.31 |
| New York | 850,002 | $1.32 |
| Florida | 742,602 | $1.32 |
| Arizona | 659,208 | $1.31 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 600 | Prescribing Information |
| outpatient hospital claims | 600 | Prescribing Information |
| practitioner claims | 600 | Prescribing Information |
What changed for J7345
- 2018-01-01: J7345 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 J7345?
J7345 is the HCPCS Level II code for aminolevulinic acid hcl for topical administration, 10% gel, 10 mg. Short descriptor: "Aminolevulinic acid, 10% gel".
How much does Medicare pay for J7345?
In 2024, the average Medicare payment was $1.31 per service (average allowed $1.66).
Does Medicare cover J7345?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
How many units of J7345 can be billed per day?
600 on DME suppliers; 600 on outpatient hospital claims; 600 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 J7345
- Watch J7345 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for J7345
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.