Home Drug Codes J Codes J2675 · PROGESTERONE
Updated July 1st, 2026

PROGESTERONE J Code: J2675

Injection, progesterone, per 50 mg

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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.

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Medicare Payment Limit ?
$0.559
/ 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 ?
5
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Drug & Product Overview

HCPCS Descriptor Injection, progesterone, per 50 mg
HCPCS Added Date January 1, 1986
Manufacturer Multiple Manufacturers
Route of Administration Intramuscular
Generic Status Multi-Source; Generic
Dosage Type Multi-Dose
Dosage Form Injection | Injection, Solution

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
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PROGESTERONE Pricing & Reimbursement

J2675 Private Payer Reimbursement
$1.11 / 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

PROGESTERONE 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
Not on the CMS JW / JZ list

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.

Practitioner Office & Hospital Outpatient
1 unit / day
= 50 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.

PROGESTERONE 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.

Abnormal uterine bleeding Abnormal uterine bleeding due to hormonal imbalance Amenorrhea
Drug Class
Progesterone [CS]Progesterone [EPC]

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Frequently Asked Questions

Is there an available Progesterone billing and coding guide?
We have not yet identified a manufacturer source of Progesterone billing and coding information.
Are there any available Progesterone patient assistance programs?
Our team did not identify a source for Progesterone patient assistance information. Please reach out to our team if you feel that this is a mistake.
Where can I find Progesterone prescribing information?
Our team is still working to identify a prescribing information source for PROGESTERONE
Where can I find Progesterone side effect information?
Our team has not yet identified a source of side effects information for PROGESTERONE. Please check back in a few weeks.
Does billing PROGESTERONE require JZ/JW wastage modifiers?
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. For more information, visit the link below.

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