XYLOCAINE-MPF/EPINEPHRINE J Code: J2004

Drug & Product Overview

HCPCS Descriptor Injection, lidocaine hcl with epinephrine, 1 mg

HCPCS Added Date October 1, 2024

Manufacturer Multiple Manufacturers

Route of Administration Epidural, Infiltration, Intracaudal, Perineural

Generic Status Multi-Source; Generic

Dosage Type Single-Dose, Multi-Dose

Dosage Form Injection, Solution

About XYLOCAINE-MPF/EPINEPHRINE

Xylocaine-mpf/epinephrine is a medication aligned to the HCPCS J Code: J2004 for billing, pricing, and reimbursement purposes in the United States. This Anesthetic medication is administered via the epidural, infiltration, intracaudal, or perineural routes and manufactured by multiple companies.

Manufacturers, reach out to us to add more information.

NDC Code Information

54 NDC packages are crosswalked to J2004. Package detail is available to logged-in subscribers.

NDC Code	Drug	Manufacturer	Billing Units / Pkg	Package Size
•••••-••••-•• Log in to view	XYLOCAINE-MPF/EPINEPHRINE
	XYLOCAINE-MPF/EPINEPHRINE
	XYLOCAINE-MPF/EPINEPHRINE
	XYLOCAINE-MPF/EPINEPHRINE

Login to view 54 NDC packages View pricing, complete NDC-to-HCPCS alignments, and package details.

Login →

XYLOCAINE-MPF/EPINEPHRINE Pricing & Reimbursement

J2004 Private Payer Reimbursement

$0.01 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

Create an account on PayerPrice for more information →

XYLOCAINE-MPF/EPINEPHRINE CPT Administration Codes

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

Not on the CMS JW / JZ list

This product is new and does not yet appear on the CMS list of HCPCS pertaining to single-dose containers. Wastage billing guide →

XYLOCAINE-MPF/EPINEPHRINE Medically Unlikely Edits (MUE)

The most billing units of J2004 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 mg.

Practitioner Office & Hospital Outpatient

500 units / day

= 500 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 →

XYLOCAINE-MPF/EPINEPHRINE 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 or regional anesthesia or analgesia — all procedures (maximum dose) local or regional anesthesia or analgesia — all procedures (maximum dose, without epinephrine) local or regional anesthesia or analgesia — caudal (obstetrical analgesia) local or regional anesthesia or analgesia — caudal (surgical anesthesia) local or regional anesthesia or analgesia — epidural (incremental dosing, 1.5%) local or regional anesthesia or analgesia — epidural (incremental dosing, 2%) local or regional anesthesia or analgesia — epidural (thoracic) local or regional anesthesia or analgesia — epidural lumbar analgesia local or regional anesthesia or analgesia — epidural lumbar anesthesia local or regional anesthesia or analgesia — epidural test dose local or regional anesthesia or analgesia — infiltration (percutaneous) local or regional anesthesia or analgesia — intravenous regional (Bier block) local or regional anesthesia or analgesia — paracervical block (obstetrical analgesia) local or regional anesthesia or analgesia — peripheral nerve block (brachial) local or regional anesthesia or analgesia — peripheral nerve block (dental) local or regional anesthesia or analgesia — peripheral nerve block (intercostal) local or regional anesthesia or analgesia — peripheral nerve block (paravertebral) local or regional anesthesia or analgesia — peripheral nerve block (pudendal) local or regional anesthesia or analgesia — sympathetic nerve block (cervical/stellate ganglion) local or regional anesthesia or analgesia — sympathetic nerve block (lumbar) local or regional anesthesia — epidural anesthesia (caudal and lumbar epidural block, test dose) local or regional anesthesia — epidural anesthesia (caudal) local or regional anesthesia — epidural anesthesia (lumbar) local or regional anesthesia — infiltration (percutaneous injection) local or regional anesthesia — intravenous regional anesthesia local or regional anesthesia — peripheral nerve block (brachial plexus, intercostal)

Show all 26 conditions Show fewer

Drug Class

Adrenergic alpha-Agonists [MoA]Adrenergic beta-Agonists [MoA]Amide Local Anesthetic [EPC]Amides [CS]Antiarrhythmic [EPC]Catecholamine [EPC]Catecholamines [CS]Local Anesthesia [PE]alpha-Adrenergic Agonist [EPC]beta-Adrenergic Agonist [EPC]

Frequently Asked Questions

Is there a manufacturer-published billing and coding guide for Xylocaine-Mpf/Epinephrine?

Our team has not identified a manufacturer-published source of billing and coding information for Xylocaine-Mpf/Epinephrine.

Are there any available patient assistance programs for Xylocaine-Mpf/Epinephrine?

Our team has not identified a source of patient assistance information for Xylocaine-Mpf/Epinephrine.

Where can I find Xylocaine-Mpf/Epinephrine prescribing information?

Our team has not identified a source of prescribing information for this medication

Is there available side effect information for Xylocaine-Mpf/Epinephrine?

Our team has not identified a source of side effect information for Xylocaine-Mpf/Epinephrine.

Does billing XYLOCAINE-MPF/EPINEPHRINE require JZ/JW wastage modifiers?

CMS does not include XYLOCAINE-MPF/EPINEPHRINE (J2004) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J2004. 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.