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Updated July 1st, 2026

ADENOCARD J Code: J0153

Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds)

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Q4 2026 Medicare Payment Limit for J0153, effective October 1, 2026: $0.378 per HCPCS billing unit, down 4.1% from $0.394. From CMS's final file.

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Medicare Payment Limit ?
$0.394
/ HCPCS billing unit · Q3 2026
APC Payment Limit ?
Not published
CMS publishes none for Q3 2026
ASP ?
$•••.••
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WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
31
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Drug & Product Overview

HCPCS Descriptor Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds)
HCPCS Added Date January 1, 2015
Manufacturer Multiple Manufacturers
Route of Administration Intravenous
Generic Status Multi-Source; Generic
Dosage Type Single-Dose
Dosage Form Injection | Injection, Solution | Not Available

About ADENOCARD

Adenocard is a medication aligned to the HCPCS J Code: J0153 for billing, pricing, and reimbursement purposes in the United States. This Cardiology medication is administered via the intravenous route and manufactured by multiple companies.

According to CMS Drug Use Information: Drug uses not available

Disclaimer: This is a summary and does not contain all possible information about this product. For complete information about this product or your specific health needs, ask your healthcare professional.

NDC Code Information

Based on publicly available CMS files. Showing 5 of 31 NDCs — log in for the full crosswalk.

NDC Code Drug Manufacturer Billing Units / Pkg Package Size
16714-0556-01 Adenosine NorthStar Rx LLC 60 60 MG / 20 ML
25021-0301-67 adenosine Sagent Pharmaceuticals 60 6 MG / 2 ML
55150-0192-01 Adenosine Eugia Us Llc 60 60 MG / 20 ML
63323-0651-02 Adenosine Fresenius Kabi USA, LLC 60 6 MG / 2 ML
67457-0854-04 adenosine Mylan Institutional LLC 120 12 MG / 4 ML
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ADENOCARD
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ADENOCARD Pricing & Reimbursement

J0153 Private Payer Reimbursement
$0.82 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

Historical Graphing and Billing Calculator

per HCPCS unit
As of Q3 2026

ADENOCARD CPT Administration Codes

The below list of CPT codes is intended for informational purposes only and may not be exhaustive. CPT® codes and descriptions are copyright American Medical Association (AMA). All rights reserved.

CPT Code Description
96374 Therapeutic, prophylactic, or diagnostic injection (specify substance or drug), IV push, single, or initial substance/drug
Not on the CMS JW / JZ list

CMS does not include Adenocard (J0153) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J0153. Wastage billing guide →

ADENOCARD Medically Unlikely Edits (MUE)

The most billing units of J0153 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 mg.

Practitioner Office & Hospital Outpatient
180 units / day
= 180 mg per day

MAI 3 · Date of Service Edit: Clinical. Per-day limit based on clinical expectations; excess units are denied but may be appealed with documentation of medical necessity. See all MUE limits →

mg Enter a dose to see how many billing units it is and whether it is under the limit.

ADENOCARD Clinical Information

Indications and drug classification.

Treated Diseases & Conditions

This list of indications is not exhaustive and may be subject to errors. The information on BuyandBill.com is intended for informational purposes only and should not be used for medical advice.

Adjunct to thallium-201 myocardial perfusion scintigraphy Myocardial perfusion scintigraphy (adjunct to thallium-201) Paroxysmal Supraventricular Tachycardia (PSVT) Thallium-201 myocardial perfusion scintigraphy (pharmacologic stress testing) adjunct to thallium-201 myocardial perfusion scintigraphy thallium-201 myocardial perfusion scintigraphy (adjunct)
Drug Class
Adenosine Receptor Agonist [EPC]Adenosine Receptor Agonists [MoA]

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Frequently Asked Questions

Is there an available Adenocard billing and coding guide?
We have not yet identified a manufacturer source of Adenocard billing and coding information.
Are there any available Adenocard patient assistance programs?
Our team did not identify a source for Adenocard patient assistance information. Please reach out to our team if you feel that this is a mistake.
Where can I find Adenocard prescribing information?
Our team is still working to identify a prescribing information source for ADENOCARD
Where can I find Adenocard side effect information?
Our team has not yet identified a source of side effects information for ADENOCARD. Please check back in a few weeks.
Does billing ADENOCARD require JZ/JW wastage modifiers?
CMS does not include ADENOCARD (J0153) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J0153. For more information, visit the link below.

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