HCPCS code J3425: Hydroxocobalamin injection, per 10 mcg2026 Medicare rate & RVUs in New Mexico

CMS doesn’t publish a rate for J3425 in New Mexico.

Check a contract rate as a % of Medicare · J3425 nationwide

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

What J3425 covers

This code identifies hydroxocobalamin administered by intramuscular injection, generally for vitamin B12 replacement, including treatment of B12 deficiency. Clinicians report the drug when they administer an intramuscular dose, including in office or outpatient care. It is distinct from hydroxocobalamin given intravenously and from other vitamin B12 products, even when the clinical purpose is similar.

CMS assigns status E, excluding the code from the physician fee schedule. When Medicare covers the item or service, payment is made under another method; HCPCS pricing identifies it as a Part B drug, generally priced through CMS quarterly Average Sales Price drug pricing files. Special Medicare coverage instructions apply. Each unit represents 10 mcg, so a documented 1,000 mcg dose corresponds to 100 units. Report units from the amount administered and retain documentation supporting the drug and dose.

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.

How New Mexico compares for J3425

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J3425 rates by state

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

See J3425 in every payment locality

How the J3425 rate is calculated

Each of J3425’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 J3425

J3425 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.

Codes related to J3425

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

How J3425 has changed in New Mexico

Price J3425 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

• Abeytas
• Abiquiu
• Acomita Lake
• Adelino
• Agua Fria
• Alamillo
• Alamo
• Alamogordo

Browse all communities in New Mexico

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