HCPCS J2505
Injection, pegfilgrastim 6mg
No national payment amount
Status E is not separately payable under the PFS.
Did Medicare pay separately for HCPCS J2505 in Q3 2017?
Not at a published national rate. HCPCS J2505 carries status E (excluded) in the Q3 2017 release. A regulation removes this code from the fee schedule. When covered, it is paid under reasonable charge procedures instead. Treat the blank amount as unpriced, not as $0.
Source: Physician relative value file (Q3 2017) · effective July 2017 · materially updated Aug 4, 2026 · compact facts
Common questions
Why is there no payment amount for J2505?
Its status indicator is E (excluded). A regulation removes this code from the fee schedule. When covered, it is paid under reasonable charge procedures instead. The blank is deliberate: the amount is either unknown or paid under another provision, so reading it as $0 would be wrong.
Why would a Medicare claim for J2505 be denied or paid less?
Each item below comes from a CMS indicator on this page — not general billing advice.
- Its status indicator is E (excluded) — A regulation removes this code from the fee schedule. When covered, it is paid under reasonable charge procedures instead. See status indicators
Payer-specific coverage and documentation rules live outside these files, so a claim that clears every check here can still be denied on other grounds.
When does this rate change?
CMS publishes a fee schedule release every quarter (January, April, July, October), and each is versioned here. See what changed each release, or get an email when a new release moves rates.
Sources: CMS Medicare Physician Fee Schedule Relative Value Files.
Saw this code on your bill?
What is a J2505 visit in patient-friendly terms?
In plain terms: Injection, pegfilgrastim 6mg You'll typically see HCPCS J2505 on a bill or explanation of benefits (EOB) when a clinician performs or bills for this service.
How this amount is computed
amount = (work RVU × work GPCI + PE RVU × PE GPCI + MP RVU × MP GPCI) × conversion factor. National amounts use GPCI = 1.000. To price an RVU figure of your own, use the RVU-to-dollars converter.
| Component | RVU |
|---|---|
| Work RVU | blank |
| Practice expense RVU (non-facility) | blank |
| Practice expense RVU (facility) | blank |
| Malpractice RVU | blank |
Every rate combines three parts: work (the clinician’s time, skill and effort), practice expense (office overhead — higher when the service is done in a doctor’s own office), and malpractice (the share of liability-insurance cost). A blank means CMS publishes no national number for that part. Read it as unknown, and never as zero.
Rate history by release
National non-facility amount for J2505 across quarterly releases.
| Release | Status | Non-facility | Facility |
|---|---|---|---|
| Q4 2021 Aug 3, 2021 – present | E | — | — |
| Q3 2021 Jun 10, 2021 – Aug 2, 2021 | E | — | — |
| Q2 2021 Feb 26, 2021 – Jun 9, 2021 | E | — | — |
| Q1 2021 Dec 29, 2020 – Feb 25, 2021 | E | — | — |
| Q4 2020 Oct 21, 2020 – Dec 28, 2020 | E | — | — |
| Q3 2020 Jun 18, 2020 – Oct 20, 2020 | E | — | — |
| Q2 2020 Apr 30, 2020 – Jun 17, 2020 | E | — | — |
| Q1 2020 Nov 8, 2019 – Apr 29, 2020 | E | — | — |
| Q4 2019 Aug 2, 2019 – Nov 7, 2019 | E | — | — |
| Q3 2019 May 3, 2019 – Aug 1, 2019 | E | — | — |
| Q2 2019 Mar 1, 2019 – May 2, 2019 | E | — | — |
| Q1 2019 Dec 13, 2018 – Feb 28, 2019 | E | — | — |
| Q4 2018 Aug 3, 2018 – Dec 12, 2018 | E | — | — |
| Q3 2018 Apr 30, 2018 – Aug 2, 2018 | E | — | — |
| Q2 2018 Feb 12, 2018 – Apr 29, 2018 | E | — | — |
| Q1 2018 Feb 9, 2018 – Feb 11, 2018 | E | — | — |
| Q4 2017 Aug 18, 2017 – Feb 8, 2018 | E | — | — |
| Q3 2017 May 3, 2017 – Aug 17, 2017 | E | — | — |
| Q2 2017 Feb 9, 2017 – May 2, 2017 | E | — | — |
| Q1 2017 Nov 14, 2016 – Feb 8, 2017 | E | — | — |
| Q4 2016 Aug 5, 2016 – Nov 13, 2016 | E | — | — |
| Q3 2016 May 17, 2016 – Aug 4, 2016 | E | — | — |
| Q2 2016 Feb 2, 2016 – May 16, 2016 | E | — | — |
| Q1 2016 Jan 21, 2016 – Feb 1, 2016 | E | — | — |
| Q4 2015 Oct 2, 2015 – Jan 20, 2016 | E | — | — |
| Q3 2015 May 15, 2015 – Oct 1, 2015 | E | — | — |
| Q2 2015 Feb 13, 2015 – May 14, 2015 | E | — | — |
| Q1 2015 Dec 23, 2014 – Feb 12, 2015 | E | — | — |
| Q4 2014 Aug 19, 2014 – Dec 22, 2014 | E | — | — |
| Q3 2014 May 15, 2014 – Aug 18, 2014 | E | — | — |
| Q2 2014 Mar 24, 2014 – May 14, 2014 | E | — | — |
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Source & method
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This is computed from CMS's Medicare Physician Fee Schedule Q3 2017 release (schedule pfs, effective July 2017). National amounts apply a GPCI of 1.000 and leave sequestration off. The status indicator decides payability, never the RVU values, so a blank RVU stays blank. Releases are immutable: a rate retrieved for a past quarter always reflects that release. CMS owns the code description shown for HCPCS Level II codes. Commercial and cash-pay figures anywhere on this page are arithmetic on the Medicare amount, using commonly cited reimbursement ranges. They're illustrative, and no nationwide claims database stands behind them. Our methodology covers all of this in depth — sourcing, parsing, versioning, and how claims are cross-checked before they ship.
Conversion factor $35.8887 read from the same file, row 11, column 25.
Use the (i) buttons next to each amount above for the exact row, columns, and math.
Cite this rate
This link keeps pointing at the Q3 2017 figures, even after a newer release lands.
HCPCS J2505 Medicare Physician Fee Schedule rate (Q3 2017). Localis. https://localishealth.com/hcpcs/J2505/2017/C