METHYLERGONOVINE MALEATE J Code: J2210
Injection, methylergonovine maleate, up to 0.2 mg
Q4 2026 Medicare Payment Limit for J2210, effective October 1, 2026: $22.117 per HCPCS billing unit, up 2.6% from $21.552. From CMS's final file.
Drug & Product Overview
About METHYLERGONOVINE MALEATE
Methylergonovine Maleate is a medication aligned to the HCPCS J Code: J2210 for billing, pricing, and reimbursement purposes in the United States. Classified under Hormone Replacement, it is administered via the intramuscular or intravenous routes and manufactured by multiple companies.
Manufacturers, reach out to us to add more information.
NDC Code Information
Based on publicly available CMS files. Showing 2 of 3 NDCs — log in for the full crosswalk.
| NDC Code | Drug | Manufacturer | Billing Units / Pkg | Package Size |
|---|---|---|---|---|
| 00517-0740-20 | Methylergonovine Maleate | American Regent, Inc. | 20 | 0.2 MG / 1 ML |
| 51991-0144-17 | Methylergonovine Maleate | Breckenridge Pharmaceutical, Inc. | 10 | 0.2 MG / 1 ML |
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METHYLERGONOVINE MALEATE Pricing & Reimbursement
National median reimbursement across major commercial payers.
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Login to use the calculator →METHYLERGONOVINE MALEATE 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 |
|---|---|
| 96372 | Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intramuscular |
CMS does not include Methylergonovine Maleate (J2210) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J2210. Wastage billing guide →
METHYLERGONOVINE MALEATE Medically Unlikely Edits (MUE)
The most billing units of J2210 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 0.2 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 →
METHYLERGONOVINE MALEATE 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 METHYLERGONOVINE MALEATE require JZ/JW wastage modifiers?
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