HCPCS code J1245: Dipyridamole injection, per 10 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 J1245 covers

Dipyridamole injection is an intravenous medication used to increase coronary blood flow during pharmacologic cardiac stress testing, commonly for myocardial perfusion imaging when a patient cannot exercise adequately. It is typically administered by clinical staff in a hospital or other setting performing cardiac stress testing. The drug is distinct from the stress-test and imaging services performed during the encounter.

Medicare assigns this code physician fee schedule status E, meaning it is excluded from the physician fee schedule. When Medicare covers the drug, payment is made under another payment method; HCPCS pricing identifies it as a Part B drug generally priced from CMS quarterly Average Sales Price files. CMS assigns special coverage instructions to the code. Report one unit for each 10 mg administered, using the drug amount documented in the medical record.

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 J1245 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

J1245 rates by state

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

How the J1245 rate is calculated

Each of J1245’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 J1245

J1245 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.

J1245 compared with similar codes

How to choose

J1250Dobutamine injectionPer 250 mg

J1250 represents dobutamine, a different pharmacologic stress agent. Select the code for the drug actually administered.

93015Cardiac stress testGlobal: supervision, tracing, interpretation

93015 represents a cardiovascular stress-test service, not the dipyridamole drug. The drug and test service may be reported separately when applicable.

78452Nuclear stress testSPECT, multiple perfusion studies

78452 represents myocardial perfusion imaging. J1245 represents the pharmacologic stress drug used during testing, not the imaging service.

Codes related to J1245

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