DICYCLOMINE HCI J Code: J0500

Drug & Product Overview

HCPCS Descriptor Injection, dicyclomine hcl, up to 20 mg

HCPCS Added Date January 1, 1986

Manufacturer Multiple Manufacturers

Route of Administration Intramuscular

Generic Status Multi-Source; Generic

Dosage Type Single-Dose

Dosage Form Injection | Injection, Solution | Not Available

About DICYCLOMINE HCI

Dicyclomine HCI is a medication aligned to the HCPCS J Code: J0500 for billing, pricing, and reimbursement purposes in the United States. Classified under Muscle Relaxant, it is administered via the intramuscular route and manufactured by multiple companies.

According to CMS Drug Use Information: Drug uses not available

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 15 NDCs — log in for the full crosswalk.

NDC Code	Drug	Manufacturer	Billing Units / Pkg	Package Size
00517-1980-05	Dicyclomine hydrochloride	American Regent, Inc.	5	20 MG / 2 ML
00641-6173-10	Dicyclomine Hydrochloride	Hikma Pharmaceuticals USA Inc.	10	20 MG / 2 ML
14789-0010-02	Dicyclomine HCl	Nexus Pharmaceuticals, LLC	5	10 MG
50090-4553-00	Bentyl	A-S Medication Solutions	1	10 MG
58914-0080-52	Bentyl	Allergan, Inc.	5	10 MG
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DICYCLOMINE HCI Pricing & Reimbursement

J0500 Private Payer Reimbursement

$11.51 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

Create an account on PayerPrice for more information →

Historical Graphing and Billing Calculator

per HCPCS unit

As of Q3 2026

DICYCLOMINE HCI CPT Administration Codes

CPT Code	Description
96372	Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intramuscular

JW / JZ modifiers apply

CMS has identified Dicyclomine HCI (J0500) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →

DICYCLOMINE HCI Medically Unlikely Edits (MUE)

The most billing units of J0500 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 20 mg.

Practitioner Office & Hospital Outpatient

4 units / day

= 80 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 →

DICYCLOMINE HCI 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.

Functional Bowel/Irritable Bowel Syndrome Functional bowel/irritable bowel syndrome functional bowel/irritable bowel syndrome

Drug Class

Anticholinergic [EPC]Cholinergic Antagonists [MoA]

Frequently Asked Questions

Is there an available Dicyclomine Hci billing and coding guide?

We have not yet identified a manufacturer source of Dicyclomine Hci billing and coding information.

Are there any available Dicyclomine Hci patient assistance programs?

Our team did not identify a source for Dicyclomine Hci patient assistance information. Please reach out to our team if you feel that this is a mistake.

Where can I find Dicyclomine Hci prescribing information?

DICYCLOMINE HCI prescribing information can be found at the link below. Please reach out to us if you believe this information to be innacurate or out of date. Visit Here →

Where can I find Dicyclomine Hci side effect information?

Our team has not yet identified a source of side effects information for DICYCLOMINE HCI. Please check back in a few weeks.

Does billing DICYCLOMINE HCI require JZ/JW wastage modifiers?

CMS has identified DICYCLOMINE HCI(J0500) 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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