HCPCS code J1010: Methylprednisolone acetate, per 1 mg2026 Medicare rate & RVUs in Missouri
Reports injectable methylprednisolone acetate for corticosteroid treatment, with units based on the milligrams administered in the billed dose.
CMS doesn’t publish an office rate for J1010 in Missouri.
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 J1010 covers
J1010 represents the depot corticosteroid methylprednisolone acetate in an injectable suspension. Clinicians use it for inflammatory conditions, commonly by injection into a joint, bursa, or other soft tissue, or by intramuscular administration when systemic corticosteroid treatment is indicated. The drug is typically reported by the professional or facility furnishing it in an office, clinic, or hospital outpatient setting; the route and clinical use depend on the prescribed treatment.
Medicare assigns physician fee schedule status E, excluding the code from the physician fee schedule. When Medicare covers the drug, payment is made under another payment method; the HCPCS pricing method identifies it as a Part B drug generally priced using CMS quarterly Average Sales Price drug pricing files. Special Medicare coverage instructions apply. Report units according to the amount administered: one unit represents 1 mg, so a 40 mg dose is 40 units. The code identifies the medication, not the administration service.
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 J1010 pays more and less in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | Unavailable | Unavailable |
| Metropolitan St. Louis, MO | Unavailable | Unavailable |
| Rest of Missouri | Unavailable | Unavailable |
How the J1010 rate is calculated
Each of J1010’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 · J1010
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 J1010
J1010 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 · J1010
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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J1010 isn’t priced in this setting.
J1010 compared with similar codes
Compare codes · National
J1010 vs J3301: Medicare rates
How to choose
- J3301Triamcinolone injectionPer 10 mg
- J3301 is triamcinolone acetonide, a different injectable corticosteroid. Use the code matching the drug actually administered.
J1010 billing questions
What does one unit of J1010 represent?
One unit represents 1 mg of methylprednisolone acetate. Report the number of units corresponding to the total milligrams administered.
How is J1010 different from J2920 or J2930?
J1010 is for methylprednisolone acetate, a depot suspension. J2920 and J2930 describe methylprednisolone sodium succinate, a different formulation.
Does status E mean Medicare never pays for J1010?
No. Status E excludes the code from the physician fee schedule. When covered, Medicare pays under another payment method; the HCPCS pricing method identifies it as a Part B drug generally priced using quarterly ASP files.
Does J1010 include the injection administration?
J1010 identifies the drug and amount administered, not the administration service.
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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