Home › Drug Codes › J Codes › J0270 · PROSTIN VR PEDIATRIC
Updated July 1st, 2026

PROSTIN VR PEDIATRIC J Code: J0270

Injection, alprostadil, 1.25 mcg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)

Login to unlock all benchmarks
Medicare Payment Limit ?
Not published
CMS publishes none for Q3 2026
APC Payment Limit ?
Not published
CMS publishes none for Q3 2026
ASP ?
No current ASP
Not available for Q3 2026
WAC · AWP ?
$•••.••
Login to view
NDCs Crosswalked ?
14
View NDC crosswalk →
Self-Administered Drug Exclusion 7 Medicare Administrative Contractors list J0270 as usually self-administered and exclude it from Part B coverage in their jurisdictions. Check the article for your MAC before billing: CGS, First Coast, Noridian (A53032), Noridian (A53033), Novitas, Palmetto, Wellpoint Federal, WPS · All SAD lists →

Drug & Product Overview

HCPCS Descriptor Injection, alprostadil, 1.25 mcg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)
HCPCS Added Date January 1, 1997
Manufacturer Multiple Manufacturers
Route of Administration Intracavernous, Intravascular, Intravenous
Generic Status Multi-Source; Generic
Dosage Type Single-Dose
Dosage Form Injection, Powder, Lyophilized, For Solution | Injection, Solution | Injection, Solution, Concentrate

About PROSTIN VR PEDIATRIC

Prostin VR Pediatric is a medication aligned to the HCPCS J Code: J0270 for billing, pricing, and reimbursement purposes in the United States. This Cardiology medication is administered via the intracavernous, intravascular, or intravenous routes and manufactured by multiple companies.

Manufacturers, reach out to us to add more information.

NDC Code Information

14 NDC packages are crosswalked to J0270. Package detail is available to logged-in subscribers.

NDC Code Drug Manufacturer Billing Units / Pkg Package Size
•••••-••••-•• Log in to view PROSTIN VR PEDIATRIC
PROSTIN VR PEDIATRIC
PROSTIN VR PEDIATRIC
PROSTIN VR PEDIATRIC
Login to view 14 NDC packages View pricing, complete NDC-to-HCPCS alignments, and package details.
Login →

PROSTIN VR PEDIATRIC Pricing & Reimbursement

J0270 Private Payer Reimbursement
$10.22 / 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

PROSTIN VR PEDIATRIC 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
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure)
Not on the CMS JW / JZ list

CMS does not include Prostin VR Pediatric (J0270) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J0270. Wastage billing guide →

PROSTIN VR PEDIATRIC Medically Unlikely Edits (MUE)

The most billing units of J0270 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1.25 mcg.

Practitioner Office & Hospital Outpatient
32 units / day
= 40 mcg 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 →

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

PROSTIN VR PEDIATRIC 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.

Erectile Dysfunction Erectile Dysfunction (Diagnostic) Erectile dysfunction due to pure neurogenic etiology (spinal cord injury) Erectile dysfunction due to vasculogenic, psychogenic, or mixed etiology Patent Ductus Arteriosus in congenital heart defects Patent ductus arteriosus in neonates with congenital heart defects congenital heart defects dependent on patent ductus arteriosus
Drug Class
Genitourinary Arterial Vasodilation [PE]Prostaglandin Analog [EPC]Prostaglandin E1 Agonist [EPC]Prostaglandin Receptor Agonists [MoA]Prostaglandins [CS]Venous Vasodilation [PE]

Login for BuyandBill.com Analytics

Unlock deeper insights with BuyandBill’s Comparative Report!

  • Compare ASP, WAC, and AWP across drugs.
  • Visualize Drug Price Movement Over Time
  • Tailor reports to drug class, manufacturer, or HCPCS Code.
  • Compare Biosimilar and 505(b)(2) products.
Access Full Report →

Frequently Asked Questions

Is there an available Prostin Vr Pediatric billing and coding guide?
Our team has not identified a manufacturer-published source of billing and coding information for PROSTIN VR PEDIATRIC.
Are there any available Prostin Vr Pediatric patient assistance programs?
PROSTIN VR PEDIATRIC patient assistance information can be found through Pharmacia and Upjohn. Visit Here →
Where can I find Prostin Vr Pediatric prescribing information?
PROSTIN VR PEDIATRIC prescribing information can be found at the link below: Visit Here →
Where can I find Prostin Vr Pediatric side effect information?
Information regarding PROSTIN VR PEDIATRIC's side effects can be found at MedlinePlus Visit Here →
Does billing PROSTIN VR PEDIATRIC require JZ/JW wastage modifiers?
CMS does not include PROSTIN VR PEDIATRIC (J0270) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J0270. For more information, visit the link below.

About BuyandBill.com:

The BuyandBill.com team is dedicated to delivering high-quality coding and billing information for office-administered drugs. We continuously research HCPCS-coded medications to expand our resources and ensure data accuracy. Manufacturers: click here to sponsor your medication, and we will ensure the most accurate and detailed information is displayed.

Related Drug Codes

Explore billing, coding, and pricing for drugs related to PROSTIN VR PEDIATRIC.

C9248CLEVIPREXInjection, clevidipine butyrate, 1 mgChiesi USAAdded January 1, 2009C9482SOTALOL HCLInjection, sotalol hydrochloride, 1 mgAltathera PharmaceuticalsAdded October 1, 2016J0130ABCIXIMABInjection abciximab, 10 mgAdded January 1, 1999J0153ADENOCARDInjection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds)Multiple ManufacturersAdded January 1, 2015J0162EPINEPHRINE HCLInjection, epinephrine (fresenius), not therapeutically equivalent to j0165, 0.1 mgFresenius KabiAdded January 1, 2026J0163ADRENALINInjection, epinephrine in sodium chloride (endo), 0.1 mgPar Pharmaceutical, IncAdded October 1, 2025J0164EPINEPHRINE (BAXTER)Injection, epinephrine in sodium chloride (baxter), 0.1 mgBaxter HealthcareAdded October 1, 2025J0165EPINEPHRINE HCLInjection, epinephrine, not otherwise specified, 0.1 mgMultiple ManufacturersAdded July 1, 2025J0166EPINEPHRINE HCL (BELCHER)Injection, epinephrine (bpi), not therapeutically equivalent to j0165, 0.1 mgMultiple ManufacturersAdded July 1, 2025J0167EPINEPHRINE HCLInjection, epinephrine (hospira), not therapeutically equivalent to j0165, 0.1 mgMultiple ManufacturersAdded July 1, 2025