DIPYRIDAMOLE J Code: J1245

Drug & Product Overview

HCPCS Descriptor Injection, dipyridamole, per 10 mg

HCPCS Added Date January 1, 1993

Manufacturer Hikma

Route of Administration Intravenous

Generic Status Single-Source; Branded

Dosage Type Single-Dose

Dosage Form Injection

About DIPYRIDAMOLE

Dipyridamole is a medication aligned to the HCPCS J Code: J1245 for billing, pricing, and reimbursement purposes in the United States. This Hematology medication is administered via the intravenous route and manufactured by Hikma.

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 1 of 2 NDCs — log in for the full crosswalk.

NDC Code	Drug	Manufacturer	Billing Units / Pkg	Package Size
00641-2569-44	Dipyridamole	Hikma Pharmaceuticals USA Inc.	25	50 MG / 10 ML
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DIPYRIDAMOLE Pricing & Reimbursement

J1245 Private Payer Reimbursement

$8.31 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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Historical Graphing and Billing Calculator

per HCPCS unit

As of Q3 2026

DIPYRIDAMOLE 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 Dipyridamole (J1245) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →

DIPYRIDAMOLE Medically Unlikely Edits (MUE)

The most billing units of J1245 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 10 mg.

Practitioner Office & Hospital Outpatient

10 units / day

= 100 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 →

DIPYRIDAMOLE 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.

Thallium myocardial perfusion imaging for evaluation of coronary artery disease

Drug Class

Decreased Platelet Aggregation [PE]Platelet Aggregation Inhibitor [EPC]

Frequently Asked Questions

Is there an available Dipyridamole billing and coding guide?

Our team has not identified a manufacturer-published source of billing and coding information for DIPYRIDAMOLE.

Are there any available Dipyridamole patient assistance programs?

Our team has not identified a manufacturer-published source of patient assistance information for DIPYRIDAMOLE.

Where can I find Dipyridamole prescribing information?

DIPYRIDAMOLE prescribing information can be found at the link below: Visit Here →

Where can I find Dipyridamole side effect information?

Information regarding DIPYRIDAMOLE's side effects can be found at MedlinePlus Visit Here →

Does billing DIPYRIDAMOLE require JZ/JW wastage modifiers?

CMS has identified DIPYRIDAMOLE(J1245) 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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