HCPCS code J2560: Phenobarbital injection, up to 120 mg2026 Medicare rate & RVUs in Louisiana
Reports injectable phenobarbital sodium for seizure treatment when a dose of up to 120 mg is furnished.
CMS doesn’t publish an office rate for J2560 in Louisiana.
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 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 in Louisiana
| Payment locality | Office | Facility |
|---|---|---|
| New Orleans, LA | Unavailable | Unavailable |
| Rest of Louisiana | Unavailable | Unavailable |
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
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
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J2560 isn’t priced in this setting.
J2560 compared with similar codes
Compare codes · National
J2560 vs J2561 vs J2515: Medicare rates
How to choose
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
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