Home Drug Codes J Codes J2250 · MIDAZOLAM HCL
Updated July 1st, 2026

MIDAZOLAM HCL J Code: J2250

Injection, midazolam hydrochloride, per 1 mg

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Q4 2026 Medicare Payment Limit for J2250, effective October 1, 2026: $0.167 per HCPCS billing unit, up 16.8% from $0.143. From CMS's final file.

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Medicare Payment Limit ?
$0.143
/ 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 ?
62
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Drug & Product Overview

HCPCS Descriptor Injection, midazolam hydrochloride, per 1 mg
HCPCS Added Date January 1, 1996
Manufacturer Multiple Manufacturers
Route of Administration Intramuscular, Intravenous
Generic Status Multi-Source; Generic
Dosage Type Single-Dose, Multi-Dose
Dosage Form Injection | Injection, Solution | Not Available

About MIDAZOLAM HCL

Midazolam HCL is a medication aligned to the HCPCS J Code: J2250 for billing, pricing, and reimbursement purposes in the United States. This Sedative medication is administered via the intramuscular or intravenous routes and manufactured by multiple companies.

According to CMS Drug Use Information: Midazolam is used before surgery or a procedure. It helps to cause drowsiness, decrease anxiety, and to decrease your memory of the surgery or procedure. This medication may also be used to help with anesthesia or to sedate people who need a tube or machine to help with breathing. Midazolam works by calming the brain and nerves. It belongs to a class of drugs known as benzodiazepines.

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 62 NDCs — log in for the full crosswalk.

NDC Code Drug Manufacturer Billing Units / Pkg Package Size
00409-0001-25 Midazolam Hospira, Inc. 50 2 MG / 2 ML
00641-6056-10 Midazolam Hikma Pharmaceuticals USA Inc. 100 10 MG / 10 ML
23155-0600-41 Midazolam hydrochloride Heritage Pharmaceuticals Inc. d/b/a Avet Pharmaceuticals Inc. 50 2 MG / 2 ML
25021-0655-02 midazolam Sagent Pharmaceuticals 20 2 MG / 2 ML
50090-5342-00 Midazolam Hydrochloride A-S Medication Solutions 500 50 MG / 10 ML
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MIDAZOLAM HCL
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MIDAZOLAM HCL Pricing & Reimbursement

J2250 Private Payer Reimbursement
$0.24 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

Create an account on PayerPrice for more information →
UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

Historical Graphing and Billing Calculator

per HCPCS unit
As of Q3 2026

Midazolam Hydrochloride 505(b)(2) Information:

HCPCS Code Manufacturer Active Ingredient HCPCS Description
J2250 Generic Code (Multiple Manufacturers) Midazolam Hydrochloride Injection, midazolam hydrochloride, per 1 mg
J2251 Generic Code (Multiple Manufacturers) Midazolam Hydrochloride Injection, midazolam in 0.9% sodium chloride, intravenous, not therapeutically equivalent to j2250, 1 mg
J2252 Generic Code (Multiple Manufacturers) Midazolam Hydrochloride Injection, midazolam in 0.8% sodium chloride, intravenous, not therapeutically equivalent to j2250, 1 mg

MIDAZOLAM 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
96372 Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intramuscular
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 Midazolam HCL (J2250) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J2250. Wastage billing guide →

MIDAZOLAM HCL Medically Unlikely Edits (MUE)

The most billing units of J2250 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 mg. The limit is different in the office and the hospital. Use the one for your setting.

Practitioner Office
22 units / day
= 22 mg per day
Hospital Outpatient
30 units / day
= 30 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 →

mg Enter a dose to see how many billing units it is and whether it is under the limit.

MIDAZOLAM HCL 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.

Induction of general anesthesia Maintenance of anesthesia (balanced anesthesia) Maintenance of general anesthesia (balanced anesthesia) Preoperative sedation/anxiolysis/amnesia Preoperative sedation/anxiolysis/amnesia (pediatric) or sedation prior to anesthesia/procedures Sedation in critical care settings Sedation in critical care settings (neonatal ICU sedation) Sedation in critical care settings (neonatal) Sedation of intubated and mechanically ventilated patients Sedation of intubated and mechanically ventilated patients (ICU sedation) Sedation of intubated and mechanically ventilated patients (ICU) Sedation of intubated and mechanically ventilated patients (critical care) Sedation of intubated and mechanically ventilated patients in ICU Sedation of intubated and mechanically ventilated patients in critical care Sedation of intubated/mechanically ventilated patients in critical care Sedation/anxiolysis/amnesia for procedures Sedation/anxiolysis/amnesia for procedures (pediatric) Sedation/anxiolysis/amnesia for procedures or prior to anesthesia (pediatric) Sedation/anxiolysis/amnesia in critical care settings Sedation/anxiolysis/amnesia in critical care settings (pediatric ICU sedation) Sedation/anxiolysis/amnesia in critical care settings (pediatric) Sedation/anxiolysis/amnesia prior to and during procedures Sedation/anxiolysis/amnesia prior to and during procedures or prior to anesthesia Sedation/anxiolysis/amnesia prior to and during procedures or prior to anesthesia (pediatric) Sedation/anxiolysis/amnesia prior to anesthesia or procedures Sedation/anxiolysis/amnesia prior to anesthesia or procedures (pediatric) Sedation/anxiolysis/amnesia prior to or during diagnostic, therapeutic, or endoscopic procedures Sedation/anxiolysis/amnesia prior to or during procedures Sedation/anxiolysis/amnesia prior to or during procedures (pediatric) Sedation/anxiolysis/amnesia prior to or during procedures or prior to anesthesia (pediatric) induction of general anesthesia maintenance of anesthesia (balanced anesthesia) preoperative sedation/anxiolysis/amnesia sedation in critical care settings (neonatal continuous IV infusion) sedation of intubated and mechanically ventilated patients (ICU sedation) sedation of intubated and mechanically ventilated patients in critical care sedation/anxiolysis/amnesia for procedures sedation/anxiolysis/amnesia in critical care settings (pediatric continuous IV infusion) sedation/anxiolysis/amnesia prior to and during procedures or prior to anesthesia (pediatric IV) sedation/anxiolysis/amnesia prior to anesthesia or procedures (pediatric) sedation/anxiolysis/amnesia prior to or during diagnostic, therapeutic, or endoscopic procedures
Drug Class
Benzodiazepine [EPC]Benzodiazepines [CS]

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Frequently Asked Questions

Is there an available Midazolam Hcl billing and coding guide?
We have not yet identified a manufacturer source of Midazolam Hcl billing and coding information.
Are there any available Midazolam Hcl patient assistance programs?
Our team did not identify a source for Midazolam Hcl patient assistance information. Please reach out to our team if you feel that this is a mistake.
Where can I find Midazolam Hcl prescribing information?
MIDAZOLAM HCL prescribing information can be found at the link below: Visit Here →
Where can I find Midazolam Hcl side effect information?
Information regarding MIDAZOLAM HCL's side effects can be found at MedlinePlus Visit Here →
Does billing MIDAZOLAM HCL require JZ/JW wastage modifiers?
CMS does not include MIDAZOLAM HCL (J2250) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J2250. For more information, visit the link below.

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