HCPCS code J0153: Adenosine injection, per 1 mg2026 Medicare rate & RVUs in Massachusetts
Adenosine injection is reported by milligram for intravenous pharmacologic cardiac stress testing or treatment of certain rapid heart rhythms.
CMS doesn’t publish an office rate for J0153 in Massachusetts.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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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 in Massachusetts
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Boston, MA | Unavailable | Unavailable |
| Rest of Massachusetts | Unavailable | Unavailable |
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.
How the rate is built · J0153
RVUs × geographic indexes × conversion factor
Work0.00
0.00 RVUs× 1.000 GPCI
Practice expense0.00
0.00 RVUs× 1.000 GPCI
Malpractice0.00
0.00 RVUs× 1.000 GPCI
Adjusted RVUs
0.0000
Conversion factor
$33.4009
Medicare rate
$0.00
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
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.
Place of service · J0153
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
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J0153 isn’t priced in this setting.
J0153 compared with similar codes
Compare codes · National
J0153 vs J2785 vs J1250: Medicare rates
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.
J0153 billing questions
What does one unit of J0153 represent?
One unit represents 1 mg of adenosine. Report the number of units corresponding to the total milligrams administered.
Is J0153 the code for the cardiac stress test?
No. J0153 identifies the adenosine drug. The cardiovascular stress-test service and any cardiac imaging are separate services.
How does Medicare treat J0153?
CMS assigns status E, excluding it from the physician fee schedule. When Medicare covers it, payment is under another method; its HCPCS pricing method identifies it as a Part B drug generally paid using CMS quarterly ASP drug pricing files.
Can J0153 be used for adenosine phosphate?
No. This code identifies adenosine itself, not phosphate forms of adenosine.
How is J0153 different from J2785?
J0153 represents adenosine per 1 mg. J2785 represents regadenoson, a different pharmacologic stress agent, per 0.1 mg.
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
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