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See a sample rate comparisonHCPCS J2359 (Olanzapine) 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, olanzapine, 0.5 mg
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for J2359 |
| Medicare Payment Limit | $0.872  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
National average reimbursement for HCPCS J2359 by major payers:
$0.77
$1.20
$1.28
$1.21
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HCPCS J2359
5 of 25 sample ratesHigher to lower in this preview
The Cooper Health System
Cooper Health System A New Jersey Non-Profit Corporation
$2.10Published rateNeshoba County General Hospital
$0.98Published ratePhs Sleep Disorders Institute, Providence Health Services
Providence Health Services Inc
$0.92Published rateOroville Hospital
$0.75Published rateNorton Clark Hospital, LLC, Norton Clark Hospital
Clark Memorial Hospital
$0.56Published rate
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See a sample payer proposalHCPCS J2359 vs. Other Drugs, Administered by Injection Codes
The HCPCS J2359 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 J2359 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 |
|---|---|---|
| J2359-HCPCS | Low | Injection, olanzapine, 0.5 mg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J2359. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J2359 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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