PROGESTERONE J Code: J2675
Injection, progesterone, per 50 mg
Q4 2026 Medicare Payment Limit for J2675, effective October 1, 2026: $0.623 per HCPCS billing unit, up 11.4% from $0.559. From CMS's final file.
Drug & Product Overview
About PROGESTERONE
Progesterone is a medication aligned to the HCPCS J Code: J2675 for billing, pricing, and reimbursement purposes in the United States. Classified under Fertility, it is administered via the intramuscular route and manufactured by multiple companies.
According to CMS Drug Use Information: Progesterone is a type of hormone (progestin). This medication is similar to the progesterone that your body naturally makes. It is given to replace the hormone when your body is not making enough of it. In women who are not pregnant and have not gone through menopause, this medication is used to restore normal menstrual periods that have stopped for several months (amenorrhea). It is also used to treat abnormal bleeding from the uterus that is due to low hormone levels and not other causes (such as fibroids, cancer of the uterus). Progesterone must not be used to test for pregnancy.
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 |
|---|---|---|---|---|
| 00143-9725-01 | Progesterone | Hikma Pharmaceuticals USA Inc. | 10 | 50 MG |
| 00591-3128-79 | Progesterone | Actavis Pharma, Inc. | 10 | 500 MG / 10 ML |
| 55150-0306-10 | Progesterone | Eugia Us Llc | 10 | 500 MG / 10 ML |
| 63323-0261-10 | Progesterone | Fresenius Kabi USA, LLC | 10 | 500 MG / 10 ML |
| 70700-0286-22 | Progesterone | XIROMED, LLC | 10 | 500 MG / 10 ML |
PROGESTERONE Pricing & Reimbursement
National median reimbursement across major commercial payers.
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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 Progesterone (J2675) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J2675. Wastage billing guide →
PROGESTERONE Medically Unlikely Edits (MUE)
The most billing units of J2675 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 50 mg.
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 →
PROGESTERONE 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
Is there an available Progesterone billing and coding guide?
Are there any available Progesterone patient assistance programs?
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Where can I find Progesterone side effect information?
Does billing PROGESTERONE require JZ/JW wastage modifiers?
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