HCPCS code J1250: Dobutamine injection, per 250 mg2026 Medicare rate & RVUs in Texas
Reports dobutamine hydrochloride supplied for intravenous cardiac support or pharmacologic stress testing, with each unit representing 250 mg of the drug.
CMS doesn’t publish an office rate for J1250 in Texas.
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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On this page 9 sections
What J1250 covers
Dobutamine hydrochloride is an intravenous inotropic drug that increases the heart’s pumping strength. It may be administered in acute care to support cardiac output or during pharmacologic cardiac stress testing, including stress echocardiography, when a patient cannot adequately exercise. Hospitals and other clinicians furnishing the drug report the HCPCS drug code for the amount provided; the code identifies the drug quantity, not the infusion time or administration work.
CMS assigns this code physician fee schedule status E, meaning it is excluded from that schedule by regulation. When Medicare covers the drug, payment is handled through another method; the HCPCS pricing method identifies it as a Part B drug generally paid using CMS quarterly Average Sales Price drug files. Special Medicare coverage instructions apply. One unit represents 250 mg, so 500 mg corresponds to two units.
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 J1250 pays more and less in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin, TX | Unavailable | Unavailable |
| Beaumont, TX | Unavailable | Unavailable |
| Brazoria, TX | Unavailable | Unavailable |
| Dallas, TX | Unavailable | Unavailable |
| Fort Worth, TX | Unavailable | Unavailable |
| Galveston, TX | Unavailable | Unavailable |
| Houston, TX | Unavailable | Unavailable |
| Rest of Texas | Unavailable | Unavailable |
How the J1250 rate is calculated
Each of J1250’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 · J1250
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 J1250
J1250 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 · J1250
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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J1250 isn’t priced in this setting.
J1250 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- J1265Dopamine injectionPer 40 mg
- J1265 is for dopamine, not dobutamine. Use the code matching the drug administered.
- J1245Dipyridamole injectionPer 10 mg
- J1245 identifies dipyridamole injection, a different pharmacologic stress agent. J1250 is for dobutamine hydrochloride.
- J0153Adenosine injectionPer 1 mg
- J0153 identifies adenosine injection. It is not interchangeable with J1250, which reports dobutamine hydrochloride in 250 mg units.
J1250 billing questions
How many milligrams does one unit represent?
One unit represents 250 mg of dobutamine hydrochloride. For example, 500 mg corresponds to two units.
Is this the code for the dobutamine infusion service?
No. J1250 identifies the drug quantity, not infusion time or administration work.
How does Medicare treat J1250?
CMS assigns status E, excluding it from the physician fee schedule. When Medicare covers the drug, the HCPCS pricing method identifies Part B drug pricing through CMS quarterly ASP files, and special coverage instructions apply.
When is dobutamine used for cardiac stress testing?
It may be used as a pharmacologic stress agent, including during stress echocardiography, when adequate exercise stress is not feasible.
How is J1250 different from the dopamine injection code?
J1250 identifies dobutamine hydrochloride in 250 mg units. J1265 identifies dopamine; select the code for the drug actually administered.
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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