J8541 HCPCS code: Dexamethasone (hemady), oral, 0.25 mg
J8541 is the HCPCS Level II code for dexamethasone (hemady), oral, 0.25 mg. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. The NCCI unit limit is 160 per day on DME suppliers.
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 | 2024-10-01 |
| Last action effective | 2024-10-01 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 160 | Prescribing Information |
What changed for J8541
- 2024-10-01: J8541 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 J8541?
J8541 is the HCPCS Level II code for dexamethasone (hemady), oral, 0.25 mg. Short descriptor: "Oral, hemady, 0.25 mg".
Does Medicare cover J8541?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
How many units of J8541 can be billed per day?
160 on DME suppliers (NCCI medically unlikely edits).
Related J85 codes
- J8501 — Aprepitant, oral, 5 mg
- J8502 — Injection, aprepitant (aponvie), 1 mg
- J8510 — Busulfan; oral, 2 mg
- J8515 — Cabergoline, oral, 0.25 mg
- J8520 — Capecitabine, oral, 150 mg
- J8521 — Capecitabine, oral, 500 mg
- J8522 — Capecitabine, oral, 50 mg
- J8530 — Cyclophosphamide; oral, 25 mg
- J8540 — Dexamethasone, oral, 0.25 mg
- J8560 — Etoposide; oral, 50 mg
- J8562 — Fludarabine phosphate, oral, 10 mg
- J8565 — Gefitinib, oral, 250 mg
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Next steps
- Run a reimbursement report for a device billed under J8541
- Watch J8541 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for J8541
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.