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HCPCS code J2785: Regadenoson injection, per 0.1 mg2026 Medicare rate & RVUs

Reports regadenoson administered intravenously to create pharmacologic stress during myocardial perfusion imaging when exercise stress is unsuitable or not feasible.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare rate · J2785

Regadenoson injection, per 0.1 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 J2785 →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 J2785 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 J2785 covers

Regadenoson is an intravenous pharmacologic stress agent used to increase coronary blood flow during myocardial perfusion imaging. Nuclear medicine and cardiology teams commonly use it when a patient cannot achieve adequate exercise stress. The drug is administered as a rapid IV bolus; the usual adult dose is 0.4 mg, which corresponds to four J2785 units. The imaging and stress-test services are reported separately under their applicable codes.

CMS assigns J2785 physician fee schedule status E, meaning the drug is excluded from the physician fee schedule. When Medicare covers it, payment is handled under another method; CMS classifies it as a Part B drug and generally uses its quarterly ASP drug pricing files. Coverage is left to the Medicare contractor’s judgment. Report units based on the amount administered: each unit represents 0.1 mg of regadenoson.

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 J2785 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

J2785 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

J2785 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
J2785 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 J2785 rate is calculated

Each of J2785’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 · J2785

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 J2785

J2785 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 · J2785

Which rate does Medicare pay?

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

POS 11 · non-facility rate · national

—

J2785 isn’t priced in this setting.

J2785 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • J2785

    Regadenoson injection, per 0.1 mg0 wRVU

    Not priced

  • J0153

    Adenosine injection, per 1 mg0 wRVU

    Not priced

  • J1250

    Dobutamine injection, per 250 mg0 wRVU

    Not priced

  • 78452

    Nuclear stress test, SPECT, multiple perfusion studies1.58 wRVU

    $427.87

How to choose

J0153Adenosine injectionPer 1 mg
J0153 reports adenosine, whereas J2785 reports regadenoson. Select the code for the pharmacologic agent actually administered.
J1250Dobutamine injectionPer 250 mg
J1250 reports dobutamine, not regadenoson. It is a different drug option for pharmacologic cardiac stress.
78452Nuclear stress testSPECT, multiple perfusion studies
78452 reports multiple-study myocardial perfusion imaging, not the regadenoson drug. J2785 identifies the drug administered for pharmacologic stress.

Codes related to J2785

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

Codes related to J2785
CodeHow it relatesNational office range
Often billed with
78451Cardiac SPECT, single rest or stress studySingle-study myocardial perfusion imaging may be performed with regadenoson pharmacologic stress.$272.61–$430.89
78452Nuclear stress test, SPECT, multiple perfusion studiesMultiple-study myocardial perfusion imaging may be performed with regadenoson pharmacologic stress.$373.48–$595.53
93015Cardiac stress test, global: supervision, tracing, interpretationComplete cardiovascular stress testing may accompany pharmacologic stress using regadenoson.$66.10–$96.66
Used instead
J0153Adenosine injection, per 1 mgAdenosine is another pharmacologic agent used for stress testing.No office rate
J1250Dobutamine injection, per 250 mgDobutamine is another pharmacologic agent used for cardiac stress testing.No office rate

J2785 billing questions

How many units represent the usual 0.4 mg dose?

Four units represent 0.4 mg because each J2785 unit represents 0.1 mg. Base the reported units on the amount administered.

Does status E mean Medicare never pays for J2785?

No. Status E excludes the drug from the physician fee schedule; when Medicare covers it, payment is handled under another method. Coverage is left to the Medicare contractor’s judgment.

Is J2785 the code for the myocardial perfusion imaging?

No. J2785 identifies the regadenoson drug. Report the imaging and applicable stress-test services separately.

How does J2785 differ from adenosine code J0153?

J2785 reports regadenoson, while J0153 reports adenosine. They are different pharmacologic agents that may be selected for pharmacologic stress testing.

What should the record support for J2785 units?

Document the regadenoson administered and the resulting dose-based unit count. One unit represents 0.1 mg.

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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