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See a sample rate comparisonHCPCS J0737 (Clindamycin Phosphate In Nacl) 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, clindamycin phosphate (baxter), not therapeutically equivalent to j0736, 300 mg
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | None 11 - Office |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for J0737 |
| Medicare Payment Limit | $2.208  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
National average reimbursement for HCPCS J0737 by major payers:
$2.96
$3.02
$3.32
$3.03
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HCPCS J0737
5 of 25 sample ratesHigher to lower in this preview
Christina Boyd
Regents Of The University Of California At Irvine
$25.07Published rateSouth Broward Hospital District, Memorial Hospital Pembroke
South Broward Hospital District
$3.11Published rateFirelands Regional Medical Center
$2.81Published rateMadison Vamc
$2.60Published rateGerald Villanueva
New York City Health And Hospitals Corporation
$2.04Published rate
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See a sample payer proposalHCPCS J0737 vs. Other Drugs, Administered by Injection Codes
The HCPCS J0737 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 J0737 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 |
|---|---|---|
| J0736-HCPCS | Low | Injection, clindamycin phosphate, 300 mg |
| J0737-HCPCS | Low | Injection, clindamycin phosphate (baxter), not therapeutically equivalent to j0736, 300 mg |
| J0739-HCPCS | Low | Injection, cabotegravir, 1mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J0737. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J0737 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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