POLOCAINE J Code: J0670

Drug & Product Overview

HCPCS Descriptor Injection, mepivacaine hydrochloride, per 10 ml

HCPCS Added Date January 1, 1986

Manufacturer Multiple Manufacturers

Route of Administration Epidural, Infiltration, Submucosal

Generic Status Multi-Source; Generic

Dosage Type Single-Dose, Multi-Dose

Dosage Form Injection, Solution | Not Available

About POLOCAINE

Polocaine is a medication aligned to the HCPCS J Code: J0670 for billing, pricing, and reimbursement purposes in the United States. It is an Anesthetic drug administered via the epidural, infiltration, or submucosal 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 5 of 8 NDCs — log in for the full crosswalk.

NDC Code	Drug	Manufacturer	Billing Units / Pkg	Package Size
50090-4408-00	Polocaine	A-S Medication Solutions	5	Polocaine Injection So lution 2 %… Login for More
63323-0260-37	Polocaine-MPF	Fresenius Kabi USA, LLC	75	300 MG / 30 ML
63323-0283-57	Polocaine	Fresenius Kabi USA, LLC	125	500 MG / 50 ML
63323-0293-37	Polocaine-MPF	Fresenius Kabi USA, LLC	75	450 MG / 30 ML
63323-0294-27	Polocaine-MPF	Fresenius Kabi USA, LLC	50	400 MG / 20 ML
•••••-••••-•• Log in to view	POLOCAINE
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POLOCAINE Pricing & Reimbursement

J0670 Private Payer Reimbursement

$3.61 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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Historical Graphing and Billing Calculator

per HCPCS unit

As of Q3 2026

POLOCAINE CPT Administration Codes

CPT Code	Description
96372	Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intramuscular

Not on the CMS JW / JZ list

CMS does not include Polocaine (J0670) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J0670. Wastage billing guide →

POLOCAINE Medically Unlikely Edits (MUE)

The most billing units of J0670 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 10 ml.

Practitioner Office & Hospital Outpatient

10 units / day

= 100 ml 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 →

POLOCAINE 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.

Local anesthesia for dental procedures local or regional analgesia and anesthesia

Drug Class

Amide Local Anesthetic [EPC]Amides [CS]Local Anesthesia [PE]

Frequently Asked Questions

Is there an available Polocaine billing and coding guide?

We have not yet identified a manufacturer source of Polocaine billing and coding information.

Are there any available Polocaine patient assistance programs?

Our team did not identify a source for Polocaine patient assistance information. Please reach out to our team if you feel that this is a mistake.

Where can I find Polocaine prescribing information?

POLOCAINE prescribing information can be found at the link below. Please reach out to us if you believe this information to be innacurate or out of date. Visit Here →

Where can I find Polocaine side effect information?

Our team has not yet identified a source of side effects information for POLOCAINE. Please check back in a few weeks.

Does billing POLOCAINE require JZ/JW wastage modifiers?

CMS does not include POLOCAINE (J0670) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J0670. For more information, visit the link below.

About BuyandBill.com:

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