DOPAMINE HCL J Code: J1265
Injection, dopamine hcl, 40 mg
Q4 2026 Medicare Payment Limit for J1265, effective October 1, 2026: $0.823 per HCPCS billing unit, down 18.7% from $1.012. From CMS's final file.
Drug & Product Overview
About DOPAMINE HCL
Dopamine HCL is a medication aligned to the HCPCS J Code: J1265 for billing, pricing, and reimbursement purposes in the United States. Classified under Neurology, it is 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 20 NDCs — log in for the full crosswalk.
| NDC Code | Drug | Manufacturer | Billing Units / Pkg | Package Size |
|---|---|---|---|---|
| 00143-9252-25 | Dopamine Hydrochloride | Hikma Pharmaceuticals USA Inc. | 125 | 200 MG / 5 ML |
| 00143-9254-25 | Dopamine Hydrochloride | Hikma Pharmaceuticals USA Inc. | 250 | 400 MG / 10 ML |
| 00338-1005-02 | Dopamine Hydrochloride and Dextrose | Baxter Healthcare Corporation | 90 | 80 MG / 100 ML |
| 00409-0042-12 | Dopamine Hydrochloride in Dextrose | Hospira, Inc. | 120 | 400 MG / 250 ML |
| 00409-7809-22 | Dopamine | Pfizer Inc | 120 | 5 MG |
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DOPAMINE HCL Pricing & Reimbursement
National median reimbursement across major commercial payers.
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Login to use the calculator →DOPAMINE HCL 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 |
|---|---|
| 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) |
CMS has identified Dopamine HCL (J1265) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →
DOPAMINE HCL Medically Unlikely Edits (MUE)
The most billing units of J1265 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 40 mg. The limit is different in the office and the hospital. Use the one for your setting.
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 →
DOPAMINE HCL Clinical Information
Indications and drug classification.
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.
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Frequently Asked Questions
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Does billing DOPAMINE HCL require JZ/JW wastage modifiers?
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