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HCPCS code J2560: Phenobarbital injection, up to 120 mg2026 Medicare rate & RVUs

Reports injectable phenobarbital sodium for seizure treatment when a dose of up to 120 mg is furnished.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare rate · J2560

Phenobarbital injection, up to 120 mg

Office or facility?

Work RVUs
0
Total RVUs
0.00
Global days
XXX

National rate · 2026

—

Not priced in the facility setting.

See every locality for J2560 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What J2560 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What J2560 covers

This code identifies injectable phenobarbital sodium, a barbiturate anticonvulsant used to control seizures. Clinicians may administer it intravenously or intramuscularly when injectable treatment is needed, including in acute-care settings for patients with seizures or when oral medication is not suitable. Practitioners and facilities report the drug they furnish for administration.

CMS assigns status E, excluding the code from the physician fee schedule. When Medicare covers the drug, payment is handled under another method; CMS classifies it as a Part B drug generally priced using the quarterly ASP drug files. Special Medicare coverage instructions apply. One billing unit represents up to 120 mg of phenobarbital sodium; report units based on the dose administered. The drug code identifies the medication, while a separately reportable injection or infusion service may be coded separately when performed.

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 J2560 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

J2560 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailableUnavailable
AlaskaUnavailableUnavailable
ArizonaUnavailableUnavailable
ArkansasUnavailableUnavailable
Atlanta, GAUnavailableUnavailable
Austin, TXUnavailableUnavailable
Bakersfield, CAUnavailableUnavailable
Baltimore area, MDUnavailableUnavailable
Beaumont, TXUnavailableUnavailable
Brazoria, TXUnavailableUnavailable

J2560 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
J2560 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the J2560 rate is calculated

Each of J2560’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 · J2560

RVUs × geographic indexes × conversion factor

Office or facility?

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 J2560

J2560 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 · J2560

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

POS 11 · non-facility rate · national

—

J2560 isn’t priced in this setting.

J2560 compared with similar codes

Compare codes · National

J2560 vs J2561 vs J2515: Medicare rates

Office or facility?

  • J2560

    Phenobarbital injection, up to 120 mg0 wRVU

    Not priced

  • J2561

    Sezaby injection, per 1 mg0 wRVU

    Not priced

  • J2515

    Pentobarbital injection, per 50 mg0 wRVU

    Not priced

How to choose

J2561Sezaby injectionPer 1 mg
J2561 is specific to Sezaby and uses a 1 mg unit. J2560 reports phenobarbital sodium in units of up to 120 mg.
J2515Pentobarbital injectionPer 50 mg
J2515 identifies pentobarbital sodium, a different barbiturate. Use J2560 for phenobarbital sodium.

Codes related to J2560

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

Codes related to J2560
CodeHow it relatesNational office range
Used instead
J2561Sezaby injection, per 1 mgUse for the Sezaby phenobarbital product, billed in 1 mg units.No office rate
Often billed with
96374IV push, single or initial IV pushMay report the initial therapeutic IV push administration when separately reportable.$33.04–$51.82
96372SC/IM injection, therapeutic, prophylactic, or diagnosticMay report therapeutic intramuscular administration when separately reportable.$13.88–$19.97
96375IV push add-on, each additional new drug, sequentialMay apply to a subsequent IV push of another therapeutic drug during the encounter.$13.84–$21.23

J2560 billing questions

How does J2560 differ from J2561?

J2560 identifies phenobarbital sodium without the Sezaby product designation and uses a unit of up to 120 mg. J2561 is specific to Sezaby and is reported per 1 mg.

How many units should be reported?

Each J2560 unit represents up to 120 mg. Base the unit count on the amount administered and applicable HCPCS billing conventions.

Does J2560 include the injection service?

J2560 identifies the drug. A separately reportable administration service may also be reported when the clinician performs the applicable injection or infusion service.

How does Medicare treat this code?

CMS assigns status E, so J2560 is excluded from the physician fee schedule. When Medicare covers the drug, it is paid under another method; CMS classifies it as a Part B drug generally priced through quarterly ASP files.

What documentation supports the units?

Document the phenobarbital sodium product and the dose administered so the reported units can be tied to the amount given.

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

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