HCPCS code J0153: Adenosine injection, per 1 mg2026 Medicare rate & RVUs

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What J0153 covers

Adenosine is given intravenously, commonly during pharmacologic cardiac stress testing when a patient cannot exercise adequately, and for acute termination of certain episodes of paroxysmal supraventricular tachycardia. Cardiologists, emergency clinicians, and other treating professionals may administer it in settings equipped to monitor cardiac rhythm. For stress testing, it is paired with the separately reported cardiovascular stress-test service and, when indicated, cardiac imaging.

Medicare assigns this HCPCS code physician fee schedule status E, so it is excluded from the physician fee schedule; when Medicare covers the item, payment is under another method. The HCPCS pricing method identifies it as a Part B drug generally paid using CMS quarterly Average Sales Price drug pricing files, and special Medicare coverage instructions apply. Each unit represents 1 mg of adenosine, so report units based on the total milligrams administered. This code identifies adenosine itself, not phosphate forms of adenosine.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where J0153 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

J0153 rates by state

Office rate range in each state. Select a state to see its payment localities.

How the J0153 rate is calculated

Each of J0153’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for J0153

J0153 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

J0153 compared with similar codes

How to choose

J2785Regadenoson injectionPer 0.1 mg

J2785 identifies regadenoson, another pharmacologic stress agent, in 0.1 mg units. J0153 identifies adenosine in 1 mg units.

J1250Dobutamine injectionPer 250 mg

J1250 identifies dobutamine, a different medication that can be used for pharmacologic cardiac stress testing; J0153 is specifically for adenosine.

Codes related to J0153

Related codes aren’t interchangeable: bill the code that matches the service performed.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates