Home › Drug Codes › J Codes › J1790 · DROPERIDOL
Updated July 1st, 2026

DROPERIDOL J Code: J1790

Injection, droperidol, up to 5 mg

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Q4 2026 Medicare Payment Limit for J1790, effective October 1, 2026: $5.348 per HCPCS billing unit, down 34.2% from $8.124. From CMS's final file.

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Medicare Payment Limit ?
$8.124
/ HCPCS billing unit · Q3 2026
APC Payment Limit ?
Not published
CMS publishes none for Q3 2026
ASP ?
$•••.••
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WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
6
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Drug & Product Overview

HCPCS Descriptor Injection, droperidol, up to 5 mg
HCPCS Added Date January 1, 1982
Manufacturer Multiple Manufacturers
Route of Administration Intramuscular, Intravenous
Generic Status Multi-Source; Generic
Dosage Type Single-Dose
Dosage Form Injection, Solution

About DROPERIDOL

Droperidol is a medication aligned to the HCPCS J Code: J1790 for billing, pricing, and reimbursement purposes in the United States. Classified under Sedative, it is administered via the intramuscular or intravenous routes 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 2 of 6 NDCs — log in for the full crosswalk.

NDC Code Drug Manufacturer Billing Units / Pkg Package Size
00143-9514-25 Droperidol Hikma Pharmaceuticals USA Inc. 25 5 MG / 2 ML
00143-9515-25 Droperidol Hikma Pharmaceuticals USA Inc. 25 2.5 MG / 1 ML
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DROPERIDOL
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DROPERIDOL Pricing & Reimbursement

J1790 Private Payer Reimbursement
$7.29 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

Historical Graphing and Billing Calculator

per HCPCS unit
As of Q3 2026

DROPERIDOL 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
96374 Therapeutic, prophylactic, or diagnostic injection (specify substance or drug), IV push, single, or initial substance/drug
Not on the CMS JW / JZ list

CMS does not include Droperidol (J1790) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J1790. Wastage billing guide →

DROPERIDOL Medically Unlikely Edits (MUE)

The most billing units of J1790 Medicare will pay for one patient in one day, as published by CMS. 1 unit = up to 5 mg.

Practitioner Office & Hospital Outpatient
2 units / day
Same limit in both settings

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 →

DROPERIDOL 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.

it’s indicated to reduce/prevent nausea and vomiting associated with surgical or diagnostic procedures
Drug Class
Dopamine D2 Antagonists [MoA]Dopamine-2 Receptor Antagonist [EPC]

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Frequently Asked Questions

Is there an available Droperidol billing and coding guide?
Our team has not identified a manufacturer-published source of billing and coding information for DROPERIDOL.
Are there any available Droperidol patient assistance programs?
DROPERIDOL patient assistance information can be found through American Regent. Visit Here →
Where can I find Droperidol prescribing information?
DROPERIDOL prescribing information can be found at the link below: Visit Here →
Where can I find Droperidol side effect information?
Our team has not yet identified a source of side effects information for DROPERIDOL. Please check back in a few weeks.
Does billing DROPERIDOL require JZ/JW wastage modifiers?
CMS does not include DROPERIDOL (J1790) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J1790. For more information, visit the link below.

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