Home Drug Codes J Codes J1095 · DEXYCU
Updated July 1st, 2026

DEXYCU J Code: J1095

Injection, dexamethasone 9 percent, intraocular, 1 microgram

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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 ?
1
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Drug & Product Overview

HCPCS Descriptor Injection, dexamethasone 9 percent, intraocular, 1 microgram
HCPCS Added Date January 1, 2019
Manufacturer Eyepoint Pharma
Route of Administration Intraocular
Generic Status Single-Source; Branded
Dosage Type Single-Dose
Dosage Form Injection, Suspension

About DEXYCU

Dexycu is a medication aligned to the HCPCS J Code: J1095 for billing, pricing, and reimbursement purposes in the United States. This Ophthalmology medication is administered via the intraocular route and manufactured by Eyepoint Pharma.

Manufacturers, reach out to us to add more information.

NDC Code Information

1 NDC package is crosswalked to J1095. Package detail is available to logged-in subscribers.

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DEXYCU Pricing & Reimbursement

J1095 Private Payer Reimbursement
$1.12 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

Dexamethasone 505(b)(2) Information:

HCPCS Code Manufacturer Active Ingredient HCPCS Description
J1095 EyePoint Pharmaceuticals US Dexamethasone Injection, dexamethasone 9 percent, intraocular, 1 microgram
J1096 Ocular Therapeutix Dexamethasone Dexamethasone, lacrimal ophthalmic insert, 0.1 mg
J8541 Generic Code (Multiple Manufacturers) Dexamethasone Dexamethasone (hemady), oral, 0.25 mg

DEXYCU Medically Unlikely Edits (MUE)

The most billing units of J1095 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 mcg.

Practitioner Office & Hospital Outpatient
1,034 units / day
= 1,034 mcg per day

MAI 2 · Date of Service Edit: Policy. Absolute per-day limit set by policy or regulation; units above it are not payable, and denials are not appealable on medical-necessity grounds. See all MUE limits →

mcg Enter a dose to see how many billing units it is and whether it is under the limit.
JW / JZ modifiers apply

CMS has identified Dexycu (J1095) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →

DEXYCU 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.

postoperative inflammation
Drug Class
Corticosteroid Hormone Receptor Agonists [MoA]Corticosteroid [EPC]

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Frequently Asked Questions

Is there an available Dexycu billing and coding guide?
Our team has not identified a manufacturer-published source of billing and coding information for DEXYCU.
Are there any available Dexycu patient assistance programs?
Our team has not identified a manufacturer-published source of patient assistance information for DEXYCU.
Where can I find Dexycu prescribing information?
DEXYCU prescribing information can be found at the link below: Visit Here →
Where can I find Dexycu side effect information?
Our team has not yet identified a source of side effects information for DEXYCU. Please check back in a few weeks.
Does billing DEXYCU require JZ/JW wastage modifiers?
CMS has identified DEXYCU(J1095) 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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