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See a sample rate comparisonHCPCS J0120 (Tetracycline Hcl) Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Injection, tetracycline, up to 250 mg
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | 11 - Office None 71 - Public Health Clinic |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for J0120 |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
National average reimbursement for HCPCS J0120 by major payers:
$65.19
$9.80
$15.00
$11.47
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HCPCS J0120
5 of 25 sample ratesHigher to lower in this preview
Montefiore Mount Vernon Hospital, Montefiore Mount Vernon Professional Billing
Montefiore Mount Vernon Hospital
$64.00Published rateChu Chen
Merrimack Valley Pediatric Associates, Inc.
$40.14Published rateCoram Alternate Site Services Inc
$40.13Published rateAdventist Health Tulare, Tulare Regional Medical Center
Adventist Health Tulare
$15.89Published rateTenet Healthsystem Memorial Medical Center, Inc., Memorial Medical Center
$3.25Published rate
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See a sample payer proposalHCPCS J0120 vs. Other Drugs, Administered by Injection Codes
The HCPCS J0120 code is part of the Drugs Administered Other than Oral Method services used for Drugs, Administered by Injection. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS J0120 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| J0120-HCPCS | Low | Injection, tetracycline, up to 250 mg |
| J0121-HCPCS | Low | Injection, omadacycline, 1 mg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J0120. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J0120 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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