In short

J2725 is the HCPCS Level II code for injection, protirelin, per 250 mcg. One billing unit is 250 mcg.

Code

CMS HCPCS file
HCPCS codeJ2725
Billing unit250 mcg
Descriptor
Injection, protirelin, per 250 mcg
Short descriptor
Inj protirelin per 250 mcg
Code set
HCPCS Level II, maintained by CMS
Effective
Jan 1, 2014

The billing unit is read from the descriptor. Confirm it against the CMS file before billing.

Units and claim line

Units = dose given ÷ 250 mcg. For example, 25000 mcg is 100 units. Enter the dose to get the units and the NDC line for the CMS-1500 and the 837P.

Enter the dose given to build the claim line.

Find the NDC

Med-Code hasn’t mapped J2725 to specific products yet. Search the FDA NDC Directory for the drug named in the descriptor, and check the route and strength match the code.

Search NDCs for protirelin

J2725: common questions

Is J2725 a CPT code?
No. J2725 is a HCPCS Level II code, maintained by CMS, that identifies the drug supplied. CPT codes are five-digit numbers from the AMA that describe services. Giving the drug, for example an injection or infusion, is usually reported with a separate CPT administration code. CPT codes for drug administration.
What is one billing unit of J2725?
One unit of J2725 is 250 mcg, as stated in the code's descriptor. Units to report = dose given ÷ 250 mcg. J-code billing units.

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