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See a sample rate comparisonHCPCS J2590 (Oxytocin) 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, oxytocin, up to 10 units
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | None 11 - Office 99 - Other POS |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for J2590 |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 42023-0116-25 - PITOCIN (25X1ML) 10 U/ML • 42023-0116-73 - PREMIERPRO RX PITOCIN (MDV) 10 U/1 ML • 42023-0116-83 - PREMIERPRO RX PITOCIN (SDV) 10 U/1 ML • 42023-0116-93 - PITOCIN NOVAPLUS (MDV) 10 U/1 ML • 63323-0012-07 - OXYTOCIN NOVAPLUS (25X1ML,USP) 10 U/1 ML |
National average reimbursement for HCPCS J2590 by major payers:
$1.17
$1.45
$1.65
$1.17
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HCPCS J2590
5 of 25 sample ratesHigher to lower in this preview
Jasleen Dhaliwal
Sutter Valley Medical Foundation
$3.89Published rateSt Johns Hospital Of The Hospital Sisters Of The Third Order Of St F, Medicaid Outpatient Number For 2360 Forms
St Johns Hospital Of The Hospital Sisters Of The Third Order Of St F
$1.49Published rateRegions Hospital
University Of Minnesota Physicians
$1.39Published rateSan Joaquin Community Hospital
San Joaquin Community Hospital Corporation
$1.39Published rateCastle Medical Center
$0.57Published rate
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See a sample payer proposalHCPCS J2590 vs. Other Drugs, Administered by Injection Codes
The HCPCS J2590 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 J2590 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 |
|---|---|---|
| 42023-0116-25-NDC | Moderate | PITOCIN (25X1ML) 10 U/ML |
| 42023-0116-73-NDC | Moderate | PREMIERPRO RX PITOCIN (MDV) 10 U/1 ML |
| 42023-0116-83-NDC | Moderate | PREMIERPRO RX PITOCIN (SDV) 10 U/1 ML |
| J2590-HCPCS | Low | Injection, oxytocin, up to 10 units |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J2590. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J2590 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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