Home Drug Codes J Codes J0725 · CHORIONIC GONADOTROPIN
Updated July 1st, 2026

CHORIONIC GONADOTROPIN J Code: J0725

Injection, chorionic gonadotropin, per 1,000 usp units

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Q4 2026 Medicare Payment Limit for J0725, effective October 1, 2026: $14.439 per HCPCS billing unit, down 4.2% from $15.069. From CMS's final file.

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Medicare Payment Limit ?
$15.069
/ 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 ?
6
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Drug & Product Overview

HCPCS Descriptor Injection, chorionic gonadotropin, per 1,000 usp units
HCPCS Added Date January 1, 1986
Manufacturer Multiple Manufacturers
Route of Administration Intramuscular
Generic Status Multi-Source; Generic
Dosage Type Multi-Dose
Dosage Form Kit

About CHORIONIC GONADOTROPIN

Chorionic Gonadotropin is a medication aligned to the HCPCS J Code: J0725 for billing, pricing, and reimbursement purposes in the United States. Classified under Fertility, it is administered via the intramuscular route and manufactured by multiple companies.

According to CMS Drug Use Information: This medication is a hormone used in boys (before puberty) to cause the normal dropping of the testicles into the scrotum. It is also used in certain boys to help with normal sexual development. It works by causing the testes to release male sex hormones (such as testosterone). This medication is also used in women to treat fertility problems. It is given after finishing another medication (menotropins) to cause the release of an egg (ovulation). It should not be used in women whose ovaries no longer make eggs properly (primary ovarian failure). This medication has not been shown to be effective for weight loss and should not be used for this purpose due to risk of serious side effects.

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 4 of 6 NDCs — log in for the full crosswalk.

NDC Code Drug Manufacturer Billing Units / Pkg Package Size
50090-7089-00 Pregnyl A-S Medication Solutions 10 Kit
55566-1502-01 Novarel Ferring Pharmaceuticals Inc. 5 Kit
63323-0030-11 Chorionic Gonadotropin Fresenius Kabi USA, LLC 10 Kit
78206-0150-01 Pregnyl Organon LLC 10 Kit
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CHORIONIC GONADOTROPIN
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CHORIONIC GONADOTROPIN Pricing & Reimbursement

J0725 Private Payer Reimbursement
$16.22 / 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

CHORIONIC GONADOTROPIN 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
96372 Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intramuscular
Not on the CMS JW / JZ list

CMS does not include Chorionic Gonadotropin (J0725) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J0725. Wastage billing guide →

CHORIONIC GONADOTROPIN Medically Unlikely Edits (MUE)

The most billing units of J0725 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1000 units.

Practitioner Office & Hospital Outpatient
10 units / day
= 10,000 units 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 →

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

CHORIONIC GONADOTROPIN 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.

Hypogonadotropic Hypogonadism Hypogonadotropic hypogonadism Hypogonadotropic hypogonadism in males Induction of Ovulation and Pregnancy Induction of ovulation and pregnancy in anovulatory infertile women Prepubertal Cryptorchidism Not Due To Anatomical Obstruction Prepubertal cryptorchidism not due to anatomical obstruction

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Frequently Asked Questions

Is there an available Chorionic Gonadotropin billing and coding guide?
We have not yet identified a manufacturer source of Chorionic Gonadotropin billing and coding information.
Are there any available Chorionic Gonadotropin patient assistance programs?
Our team did not identify a source for Chorionic Gonadotropin patient assistance information. Please reach out to our team if you feel that this is a mistake.
Where can I find Chorionic Gonadotropin prescribing information?
Our team is still working to identify a prescribing information source for CHORIONIC GONADOTROPIN
Where can I find Chorionic Gonadotropin side effect information?
Our team has not yet identified a source of side effects information for CHORIONIC GONADOTROPIN. Please check back in a few weeks.
Does billing CHORIONIC GONADOTROPIN require JZ/JW wastage modifiers?
CMS does not include CHORIONIC GONADOTROPIN (J0725) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J0725. For more information, visit the link below.

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