Home Drug Codes J Codes J7121 · DEXTROSE IN LACTATED RINGERS
Updated July 1st, 2026

DEXTROSE IN LACTATED RINGERS J Code: J7121

5% dextrose in lactated ringers infusion, up to 1000 cc

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Medicare Payment Limit ?
Not published
CMS publishes none for Q3 2026
APC Payment Limit ?
Not published
CMS publishes none for Q3 2026
ASP ?
No current ASP
Not available for Q3 2026
WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
4
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Drug & Product Overview

HCPCS Descriptor 5% dextrose in lactated ringers infusion, up to 1000 cc
HCPCS Added Date January 1, 2016
Manufacturer Multiple Manufacturers
Route of Administration Intravenous
Generic Status Multi-Source; Generic
Dosage Form Injection, Solution

About DEXTROSE IN LACTATED RINGERS

Dextrose IN Lactated Ringers is a medication aligned to the HCPCS J Code: J7121 for billing, pricing, and reimbursement purposes in the United States. Classified under Misc., it is administered via the intravenous route and manufactured by multiple companies.

Manufacturers, reach out to us to add more information.

NDC Code Information

4 NDC packages are crosswalked to J7121. Package detail is available to logged-in subscribers.

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DEXTROSE IN LACTATED RINGERS Pricing & Reimbursement

J7121 Private Payer Reimbursement
$7.78 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

DEXTROSE IN LACTATED RINGERS 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
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour
96361 Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure)
Not on the CMS JW / JZ list

CMS does not include Dextrose IN Lactated Ringers (J7121) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J7121. Wastage billing guide →

DEXTROSE IN LACTATED RINGERS Medically Unlikely Edits (MUE)

The most billing units of J7121 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1000 cc. The limit is different in the office and the hospital. Use the one for your setting.

Practitioner Office
4 units / day
= 4,000 cc per day
Hospital Outpatient
5 units / day
= 5,000 cc 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 →

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

DEXTROSE IN LACTATED RINGERS 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.

parenteral replacement of extracellular losses of fluid and electrolytes source of water, electrolytes, and calories; alkalinizing agent
Drug Class
Blood Coagulation Factor [EPC]Calcium [CS]CationsDivalent [CS]Increased Coagulation Factor Activity [PE]Increased Large Intestinal Motility [PE]Inhibition Large Intestine Fluid/Electrolyte Absorption [PE]Osmotic Activity [MoA]Osmotic Laxative [EPC]Phosphate Binder [EPC]Phosphate Chelating Activity [MoA]Potassium Compounds [CS]Potassium Salt [EPC]

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Frequently Asked Questions

Is there a manufacturer-published billing and coding guide for Dextrose In Lactated Ringers?
Our team has not identified a manufacturer-published source of billing and coding information for Dextrose In Lactated Ringers.
Are there any available patient assistance programs for Dextrose In Lactated Ringers?
Our team has not identified a source of patient assistance information for Dextrose In Lactated Ringers.
Where can I find Dextrose In Lactated Ringers prescribing information?
Our team has not identified a source of prescribing information for this medication
Is there available side effect information for Dextrose In Lactated Ringers?
Our team has not identified a source of side effect information for Dextrose In Lactated Ringers.
Does billing DEXTROSE IN LACTATED RINGERS require JZ/JW wastage modifiers?
CMS does not include DEXTROSE IN LACTATED RINGERS (J7121) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J7121. For more information, visit the link below.

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