Home Drug Codes J Codes J2810 · THEOPHYLLINE IN 5% DEXTROSE
Updated July 1st, 2026

THEOPHYLLINE IN 5% DEXTROSE J Code: J2810

Injection, theophylline, per 40 mg

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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 ?
$•••.••
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NDCs Crosswalked ?
2
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Drug & Product Overview

HCPCS Descriptor Injection, theophylline, per 40 mg
HCPCS Added Date January 1, 1982
Manufacturer B. Braun
Generic Status Single-Source; Branded

About THEOPHYLLINE IN 5% DEXTROSE

Theophylline IN 5% Dextrose is a medication aligned to the HCPCS J Code: J2810 for billing, pricing, and reimbursement purposes in the United States. It is a Respiratory drug manufactured by B. Braun.

Manufacturers, reach out to us to add more information.

NDC Code Information

2 NDC packages are crosswalked to J2810. Package detail is available to logged-in subscribers.

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THEOPHYLLINE IN 5% DEXTROSE 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 Theophylline IN 5% Dextrose (J2810) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J2810. Wastage billing guide →

THEOPHYLLINE IN 5% DEXTROSE Medically Unlikely Edits (MUE)

The most billing units of J2810 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 40 mg. The limit is different in the office and the hospital. Use the one for your setting.

Practitioner Office
5 units / day
= 200 mg per day
Hospital Outpatient
20 units / day
= 800 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.

THEOPHYLLINE IN 5% DEXTROSE 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.

Asthma Emphysema Chronic bronchitis

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Frequently Asked Questions

Is there an available Theophylline In 5% Dextrose billing and coding guide?
We have not yet identified a manufacturer source of Theophylline In 5% Dextrose billing and coding information.
Are there any available Theophylline In 5% Dextrose patient assistance programs?
Our team did not identify a source for Theophylline In 5% Dextrose patient assistance information. Please reach out to our team if you feel that this is a mistake.
Where can I find Theophylline In 5% Dextrose prescribing information?
THEOPHYLLINE IN 5% DEXTROSE prescribing information can be found at the link below: Visit Here →
Where can I find Theophylline In 5% Dextrose side effect information?
Our team has not yet identified a source of side effects information for THEOPHYLLINE IN 5% DEXTROSE. Please check back in a few weeks.
Does billing THEOPHYLLINE IN 5% DEXTROSE require JZ/JW wastage modifiers?
CMS does not include THEOPHYLLINE IN 5% DEXTROSE (J2810) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J2810. For more information, visit the link below.

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