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See a sample rate comparisonHCPCS J0520 (Bethanechol Chloride) 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, bethanechol chloride, myotonachol or urecholine, up to 5 mg
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | 11 - Office None |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for J0520 |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 51927-2097-00 - BETHANECHOL CHLORIDE (U.S.P.) • 62991-1530-02 - BETHANECHOL CHLORIDE (U.S.P.) • 62991-1530-03 - BETHANECHOL CHLORIDE (U.S.P.) |
National average reimbursement for HCPCS J0520 by major payers:
$9.36
$5.70
$5.02
$4.88
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HCPCS J0520
5 of 25 sample ratesHigher to lower in this preview
Andreas Rimner
$9.89Published rateFayetteville Vamc
$5.61Published ratePoudre Valley Health Care Inc., Poudre Valley Hospital
Poudre Valley Health Care Inc
$5.61Published rateMcdowell Hospital
$5.61Published rateOroville Hospital
$4.48Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS J0520 vs. Other Drugs, Administered by Injection Codes
The HCPCS J0520 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 J0520 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 |
|---|---|---|
| 51927-2097-00-NDC | Moderate | BETHANECHOL CHLORIDE (U.S.P.) |
| 62991-1530-02-NDC | Moderate | BETHANECHOL CHLORIDE (U.S.P.) |
| 62991-1530-03-NDC | Moderate | BETHANECHOL CHLORIDE (U.S.P.) |
| J0520-HCPCS | Low | Injection, bethanechol chloride, myotonachol or urecholine, up to 5 mg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J0520. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J0520 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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