Dexamethasone Sodium Phosphate J Code: J1100
Injection, dexamethasone sodium phosphate, 1 mg
Q4 2026 Medicare Payment Limit for J1100, effective October 1, 2026: $0.099 per HCPCS billing unit, up 16.5% from $0.085. From CMS's final file.
Drug & Product Overview
About Dexamethasone Sodium Phosphate
Dexamethasone Sodium Phosphate is a medication aligned to the HCPCS J Code: J1100 for billing, pricing, and reimbursement purposes in the United States. Classified under Immunosuppressant, it is administered via the intra-articular, intralesional, intramuscular, intravenous, or soft tissue routes and manufactured by multiple companies.
According to CMS Drug Use Information: Dexamethasone is used to treat conditions such as arthritis, blood/hormone disorders, allergic reactions, skin diseases, eye problems, breathing problems, bowel disorders, cancer, and immune system disorders. It is also used as a test for an adrenal gland disorder (Cushing's syndrome). Dexamethasone belongs to a class of drugs known as corticosteroids. It decreases your immune system's response to various diseases to reduce symptoms such as swelling and allergic-type reactions. This injectable form of dexamethasone is used when a similar drug cannot be taken by mouth or when a very fast response is needed, especially in patients with severe medical conditions. Talk to your doctor about the risks and benefits of dexamethasone, especially if it is to be injected near your spine (epidural). Rare but serious side effects may occur with epidural use.
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 47 NDCs — log in for the full crosswalk.
| NDC Code | Drug | Manufacturer | Billing Units / Pkg | Package Size |
|---|---|---|---|---|
| 00641-0367-25 | Dexamethasone Sodium Phosphate | Hikma Pharmaceuticals USA Inc. | 250 | 10 MG / 1 ML |
| 25021-0052-01 | Dexamethasone Sodium Phosphate | Sagent Pharmaceuticals | 100 | 4 MG / 1 ML |
| 50090-0414-00 | Dexamethasone Sodium Phosphate | A-S Medication Solutions | 120 | 120 MG / 30 ML |
| 55150-0239-30 | Dexamethasone Sodium Phosphate | Eugia Us Llc | 3000 | 120 MG / 30 ML |
| 63323-0165-01 | Dexamethasone Sodium Phosphate | Fresenius Kabi USA, LLC | 100 | 4 MG / 1 ML |
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Dexamethasone Sodium Phosphate Pricing & Reimbursement
National median reimbursement across major commercial payers.
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Login to use the calculator →Dexamethasone Sodium Phosphate 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 |
|---|---|
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour |
| 96366 | Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure) |
| 96372 Login for More | Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intramuscular Login for More |
| 96374 Login for More | Therapeutic, prophylactic, or diagnostic injection (specify substance or drug), IV push, single, or initial substance/drug Login for More |
CMS does not include Dexamethasone Sodium Phosphate (J1100) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J1100. Wastage billing guide →
Dexamethasone Sodium Phosphate Medically Unlikely Edits (MUE)
The most billing units of J1100 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 mg.
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 →
Dexamethasone Sodium Phosphate Clinical Information
Indications and drug classification.
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.
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Frequently Asked Questions
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