Home › Drug Codes › J Codes › J7312 · OZURDEX
Updated July 1st, 2026

OZURDEX J Code: J7312

Injection, dexamethasone, intravitreal implant, 0.1 mg

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Q4 2026 Medicare Payment Limit for J7312, effective October 1, 2026: $202.424 per HCPCS billing unit, down 0.6% from $203.656. From CMS's final file.

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Medicare Payment Limit ?
$203.656
/ HCPCS billing unit · Q3 2026
APC Payment Limit ?
$203.656
/ HCPCS billing unit · APC 9256
ASP ?
$•••.••
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WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
1
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Drug & Product Overview

HCPCS Descriptor Injection, dexamethasone, intravitreal implant, 0.1 mg
HCPCS Added Date January 1, 2011
Manufacturer Allergan
Route of Administration Intravitreal
Generic Status Single-Source; Branded
Dosage Type Single-Dose
Dosage Form Implant

About OZURDEX

Ozurdex is a medication aligned to the HCPCS J Code: J7312 for billing, pricing, and reimbursement purposes in the United States. It is an Ophthalmology drug administered via the intravitreal route and manufactured by Allergan.

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. The list of NDCs below is not exhaustive.

NDC Code Drug Manufacturer Billing Units / Pkg Package Size
00023-3348-07 Ozurdex Allergan, Inc. 7 .7 MG
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OZURDEX Pricing & Reimbursement

J7312 Private Payer Reimbursement
$204.72 / 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

OZURDEX 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
67028 Intravitreal injection of a pharmacologic agent (separate procedure) 67028
JW / JZ modifiers apply

CMS has identified Ozurdex (J7312) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →

OZURDEX Medically Unlikely Edits (MUE)

The most billing units of J7312 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 0.1 mg.

Practitioner Office & Hospital Outpatient
14 units / day
= 1.4 mg per day

MAI 2 · Date of Service Edit: Policy. Absolute per-day limit set by policy or regulation; units above it are not payable, and denials are not appealable on medical-necessity grounds. See all MUE limits →

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

OZURDEX 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.

Diabetic macular edema Macular edema following branch retinal vein occlusion (BRVO) or central retinal vein occlusion (CRVO) Non-infectious uveitis affecting the posterior segment of the eye
Drug Class
Corticosteroid Hormone Receptor Agonists [MoA]Corticosteroid [EPC]

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Frequently Asked Questions

Is there an available Ozurdex billing and coding guide?
Billing and coding information for OZURDEX can be found through Allergan. Visit Here →
Are there any available Ozurdex patient assistance programs?
OZURDEX patient assistance information can be found through Allergan. Visit Here →
Where can I find Ozurdex prescribing information?
OZURDEX prescribing information can be found at the link below: Visit Here →
Where can I find Ozurdex side effect information?
Our team has not yet identified a source of side effects information for OZURDEX. Please check back in a few weeks.
Does billing OZURDEX require JZ/JW wastage modifiers?
CMS has identified OZURDEX(J7312) 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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