DIPRIVAN J Code: J2704

Drug & Product Overview

HCPCS Descriptor Injection, propofol, 10 mg

HCPCS Added Date January 1, 2015

Manufacturer Multiple Manufacturers

Route of Administration Intravenous

Generic Status Multi-Source; Generic

Dosage Type Single-Dose

Dosage Form Injection, Emulsion

About DIPRIVAN

Diprivan is a medication aligned to the HCPCS J Code: J2704 for billing, pricing, and reimbursement purposes in the United States. It is a Sedative drug administered via the intravenous 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 67 NDCs — log in for the full crosswalk.

NDC Code	Drug	Manufacturer	Billing Units / Pkg	Package Size
00069-0209-10	Propofol	Pfizer Laboratories Div Pfizer Inc	200	200 MG / 20 ML
00409-4699-24	Propofol	Hospira, Inc.	1000	1000 MG / 100 ML
00409-4699-30	Propofol	Pfizer Inc	100	200 MG / 20 ML
00641-6194-10	Propofol	Hikma Pharmaceuticals USA Inc.	200	200 MG / 20 ML
16714-0528-10	propofol	NorthStar Rx LLC	200	200 MG / 20 ML
•••••-••••-•• Log in to view	DIPRIVAN
	DIPRIVAN
	DIPRIVAN

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DIPRIVAN Pricing & Reimbursement

J2704 Private Payer Reimbursement

$0.15 / 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

DIPRIVAN CPT Administration Codes

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)

JW / JZ modifiers apply

CMS has identified Diprivan (J2704) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →

DIPRIVAN Medically Unlikely Edits (MUE)

The most billing units of J2704 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 10 mg. The limit is different in the office and the hospital. Use the one for your setting.

Practitioner Office

80 units / day

= 800 mg per day

Hospital Outpatient

400 units / day

= 4,000 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 →

DIPRIVAN 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.

ICU Sedation ICU Sedation of Intubated, Mechanically Ventilated Adult Patients ICU Sedation of Intubated, Mechanically Ventilated Adults ICU Sedation of Intubated, Mechanically Ventilated Patients Induction of General Anesthesia Intensive Care Unit (ICU) Sedation Maintenance of General Anesthesia Monitored Anesthesia Care (MAC) Sedation Sedation in Combination with Regional Anesthesia

Drug Class

General Anesthesia [PE]General Anesthetic [EPC]

Frequently Asked Questions

Is there an available Diprivan billing and coding guide?

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

Are there any available Diprivan patient assistance programs?

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

Where can I find Diprivan prescribing information?

Our team is still working to identify a prescribing information source for DIPRIVAN

Where can I find Diprivan side effect information?

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

Does billing DIPRIVAN require JZ/JW wastage modifiers?

CMS has identified DIPRIVAN(J2704) 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.

About BuyandBill.com:

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