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J1010 HCPCS Level II Code: Injection, methylprednisolone acetate, 1 mg

Medicare Coverage & Payment

  • CMS short descriptor: Inj, methylpred acetate 1 mg
  • Medicare coverage: Special coverage instructions apply (CMS coverage code D)
  • Payment category: Drugs (pricing indicator 51)
  • BETOS: O1E — Other drugs
  • Last CMS action effective: January 1, 2025

Source: CMS HCPCS Level II release. Coverage codes indicate how Medicare treats the code, not whether a specific claim will be paid; payer policy and documentation still govern.

Code Overview

Injection, methylprednisolone acetate, 1 mg is a HCPCS Level II code (J1010). CMS assigns coverage code D — Special coverage instructions apply. Short description: Inj, methylpred acetate 1 mg.

Summary composed by MedCoder from this code's official HCPCS Level II record. The tabular instructional notes themselves appear verbatim below.

Change history

  • 2024-04-01
    Added to the code set
    Injection, methylprednisolone acetate, 1 mg

Drug products (NDC)

CMS ASP NDC-HCPCS Crosswalk · 2026 Q3

Medicare Part B payment limit (ASP + 6%): $0.12

00009-0274-01 Depo-Medrol — Pfizer Inc (size 5 × qty 1 (1 MG per billing unit))

00009-0280-02 Depo-Medrol — Pfizer Inc (size 5 × qty 1 (1 MG per billing unit))

00009-0280-03 Depo-Medrol — Pfizer Inc (size 10 × qty 1 (1 MG per billing unit))

00009-0280-51 Depo-Medrol — Pfizer Inc (size 5 × qty 25 (1 MG per billing unit))

00009-0280-52 Depo-Medrol — Pfizer Inc (size 10 × qty 25 (1 MG per billing unit))

00009-0306-02 Depo-Medrol — Pfizer Inc (size 5 × qty 1 (1 MG per billing unit))

00009-0306-12 Depo-Medrol — Pfizer Inc (size 5 × qty 25 (1 MG per billing unit))

00009-3073-01 Depo-Medrol — Pfizer Inc (size 1 × qty 1 (1 MG per billing unit))

00009-3073-03 Depo-Medrol — Pfizer Inc (size 1 × qty 25 (1 MG per billing unit))

00009-3073-22 Depo-Medrol — Pfizer Inc (size 1 × qty 1 (1 MG per billing unit))

00009-3073-23 Depo-Medrol — Pfizer Inc (size 1 × qty 25 (1 MG per billing unit))

00009-3475-01 Depo-Medrol — Pfizer Inc (size 1 × qty 1 (1 MG per billing unit))

00009-3475-03 Depo-Medrol — Pfizer Inc (size 1 × qty 25 (1 MG per billing unit))

00781-3516-75 Methylprednisolone Acetate — Sandoz Inc. (size 5 × qty 1 (1 MG per billing unit))

00781-3522-70 Methylprednisolone Acetate — Sandoz Inc. (size 10 × qty 1 (1 MG per billing unit))

00781-3522-75 Methylprednisolone Acetate — Sandoz Inc. (size 5 × qty 1 (1 MG per billing unit))

25021-0820-05 Methylprednisolone Acetate — Sagent Pharmaceuticals (size 5 × qty 1 (1 MG per billing unit))

25021-0820-10 Methylprednisolone Acetate — Sagent Pharmaceuticals (size 10 × qty 1 (1 MG per billing unit))

25021-0821-05 Methylprednisolone Acetate — Sagent Pharmaceuticals (size 5 × qty 1 (1 MG per billing unit))

42023-0238-01 Methylprednisolone Acetate — Endo USA, Inc. (size 5 × qty 1 (1 MG per billing unit))

+23 more

Related Codes

Same drug, other billing codes

CMS's ASP crosswalk lists these HCPCS codes for the same drug.

J7509 — Methylprednisolone oral, per 4 mg

From the CMS ASP NDC-HCPCS Crosswalk and Part B Payment Limit File. Payment limits apply per HCPCS billing code, not per package.

Contextual Map

Every relationship of J1010 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Nearest codes (16)

  • J1000 — Injection, depo-estradiol cypionate, up to 5 mg [Sibling]
  • J1020 — Injection, methylprednisolone acetate, 20 mg [Sibling]
  • J1030 — Injection, methylprednisolone acetate, 40 mg [Sibling]
  • J1040 — Injection, methylprednisolone acetate, 80 mg [Sibling]
  • J1050 — Injection, medroxyprogesterone acetate, 1 mg [Sibling]
  • J1060 — Injection, testosterone cypionate and estradiol cypionate, up to 1 ml [Sibling]
  • J1070 — Injection, testosterone cypionate, up to 100 mg [Sibling]
  • J1071 — Injection, testosterone cypionate, 1 mg [Sibling]
  • and 8 more

Change history

  • 2024-04-01 — Added to the code set [Change history]

Nearest Codes in This Family

Official HCPCS Level II classifications closest to J1010 in its code family, with their registry titles.

  • J1000 — Injection, depo-estradiol cypionate, up to 5 mg
  • J1020 — Injection, methylprednisolone acetate, 20 mg
  • J1030 — Injection, methylprednisolone acetate, 40 mg
  • J1040 — Injection, methylprednisolone acetate, 80 mg
  • J1050 — Injection, medroxyprogesterone acetate, 1 mg
  • J1060 — Injection, testosterone cypionate and estradiol cypionate, up to 1 ml
  • J1070 — Injection, testosterone cypionate, up to 100 mg
  • J1071 — Injection, testosterone cypionate, 1 mg
  • J1072 — Injection, testosterone cypionate (azmiro), 1 mg
  • J1073 — Testosterone pellet, implant, 75 mg