Home Drug Codes J Codes J0735 · CLONIDINE HCL
Updated July 1st, 2026

CLONIDINE HCL J Code: J0735

Injection, clonidine hydrochloride, 1 mg

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Q4 2026 Medicare Payment Limit for J0735, effective October 1, 2026: $14.192 per HCPCS billing unit, down 5.9% from $15.077. From CMS's final file.

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Medicare Payment Limit ?
$15.077
/ 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, clonidine hydrochloride, 1 mg
HCPCS Added Date January 1, 1998
Manufacturer Multiple Manufacturers
Route of Administration Epidural, Intravenous
Generic Status Multi-Source; Generic
Dosage Type Single-Dose
Dosage Form Injection, Solution | Not Available

About CLONIDINE HCL

Clonidine HCL is a medication aligned to the HCPCS J Code: J0735 for billing, pricing, and reimbursement purposes in the United States. This Non-Opioid Analgesic medication is administered via the epidural or intravenous routes and manufactured by multiple companies.

According to CMS Drug Use Information: Clonidine is used with another medication (an opioid) to treat severe pain in people with cancer. Clonidine belongs to a class of drugs known as central alpha agonists. It works by blocking the nerves in the spinal cord that send pain signals.

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
00143-9723-01 Clonidine Hydrochloride Hikma Pharmaceuticals USA Inc. 5 5 MG / 10 ML
00143-9724-01 Clonidine Hydrochloride Hikma Pharmaceuticals USA Inc. 1 1 MG / 10 ML
39822-2000-01 Clonidine XGen Pharmaceuticals DJB, Inc. 1 1 MG / 10 ML
67457-0218-10 Duraclon Mylan Institutional LLC 1 1 MG / 10 ML
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CLONIDINE HCL
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CLONIDINE HCL Pricing & Reimbursement

J0735 Private Payer Reimbursement
$17.41 / 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

CLONIDINE HCL 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
96375 Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug.
JW / JZ modifiers apply

CMS has identified Clonidine HCL (J0735) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →

CLONIDINE HCL Medically Unlikely Edits (MUE)

The most billing units of J0735 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 mg.

Practitioner Office & Hospital Outpatient
50 units / day
= 50 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.

CLONIDINE HCL 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.

severe pain in cancer patients
Drug Class
Adrenergic alpha2-Agonists [MoA]Central alpha-2 Adrenergic Agonist [EPC]

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Frequently Asked Questions

Is there an available Clonidine Hcl billing and coding guide?
We have not yet identified a manufacturer source of Clonidine Hcl billing and coding information.
Are there any available Clonidine Hcl patient assistance programs?
Our team did not identify a source for Clonidine Hcl patient assistance information. Please reach out to our team if you feel that this is a mistake.
Where can I find Clonidine Hcl prescribing information?
Our team is still working to identify a prescribing information source for CLONIDINE HCL
Where can I find Clonidine Hcl side effect information?
Our team has not yet identified a source of side effects information for CLONIDINE HCL. Please check back in a few weeks.
Does billing CLONIDINE HCL require JZ/JW wastage modifiers?
CMS has identified CLONIDINE HCL(J0735) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. See CMS guidelines on use of the JZ and JW wastage modifiers below.

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