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J1271

J1271 – Inj doxycycline hyclate 1 mg · NDC Crosswalk & Billing Units

HCPCS Level II J-code · Medicare Part B drug billing
J-code ● 18 NDCs crosswalked per 1 MG $0.087/unit ASP+6%

📋 J1271 summary

J1271 is a HCPCS Level II J-code used to bill doxycycline hyclate 1 mg, billed per 1 MG. The number of billing units to report depends on the dose administered and the NDC/package billed — use the calculator below.

Brand names associated with J1271: Doxy, Doxycycline, Doxycycline Doxycycline

Code J1271 Billing unit 1 MG Payment limit $0.087/unit NDC-Crosswalk 18 Quarter Q3 2026 RxCUI Atlas Trace the drug concept →

⚠ An NDC↔HCPCS crosswalk and a published payment limit do not guarantee payer coverage or payment. Always verify the current payer policy and claim format before billing.

🗂️ Key billing facts

HCPCS codeJ1271
DescriptorInj doxycycline hyclate 1 mg
Billing unit1 MG
Payment limit / unit$0.087
Est. ASP / unit$0.082 est.
Mapped NDCs18
Data periodQ3 2026
Last updated2026-08-20

💊 About Doxycycline Injection DRUG GUIDE

Doxycycline for Injection is used intravenously to treat serious bacterial infections when oral antibiotic therapy is not an option.

It covers a wide range of infections, including Rocky Mountain spotted fever and other rickettsial illnesses, Mycoplasma pneumoniae respiratory infections, psittacosis, lymphogranuloma venereum, relapsing fever, cholera, brucellosis, tularemia, plague, and inhalational anthrax (including post-exposure prevention).It is also used for certain sexually transmitted infections (such as syphilis and gonorrhea when penicillin cannot be used), trachoma, and some intestinal, skin, and soft-tissue infections caused by susceptible bacteria.

Doxycycline for Injection should be used only for infections that are proven or strongly suspected to be caused by bacteria sensitive to it, in order to reduce the risk of antibiotic resistance.

Read the full Doxycycline Injection drug guide →
Clinical overview from our editorial drug guide for Doxycycline Injection. For billing reference, see the sections above.

🧾 Billing & reimbursement HCPCS · CMS · EFF. Q3 2026

📅 Payment limits effective Q3 2026 — from the CMS Medicare Part B Payment Limit File (revised quarterly).
Medicare payment limit / unit
$0.087
Est. ASP / unit
$0.082 est.
Est. after 2% sequester
$0.085
HCPCS dosage
1 MG
The CMS payment limit is the Medicare Part B drug allowance (ASP + 6%, statutory). After the 2% federal sequester the effective payment is ≈ ASP + 4.3%; estimated ASP = payment limit ÷ 1.06. Source: CMS Medicare Part B Payment Limit File (quarterly), Q3 2026.

🧮 Dosing & billing-units calculator HCPCS UNITS

One billing unit of J1271 = 1 mg. Enter a regimen to convert dose → billing units and project a full course.
Billing units = dose ÷ HCPCS unit size. Most payers require whole units — round per the payer's policy. “Est. Medicare pay” uses the current payment limit. For single-dose vials, drug discarded after administration may be separately billable with modifier JW (JZ when none is discarded) where allowed. Always verify payer-specific rounding before billing.

🔁 NDCs that bill under J1271 WITH EST. MEDICARE PAY

18 NDCs map to J1271. Bill units = how many HCPCS units one package represents. Est. pay / pkg = payment limit ($0.087/unit) × that package's bill units.
NDC (11-digit)DrugLabelerPackageStrength Bill units Est. pay / pkg NADAC / unit StatusSource
00143-9381-10 Doxycycline 100 mg/1 INJECTION, POWDER, FOR SOLUTION Hikma 10 VIAL in 1 CARTON (0143-9381-10) / 1 IN... 100 mg/1 1,000 $87.00 ● Active CMS + PDAC
00404-9855-99 DOXYCYCLINE 100 mg/10mL INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION Henry 1 PACKAGE in 1 BAG (0404-9855-99) / 10 mL... 100 mg/10mL 100 $8.70 ● Active CMS ASP
42023-0244-10 DOXYCYCLINE 100 mg/10mL INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION Par 10 VIAL in 1 CARTON (42023-244-10) / 10 m... 100 mg/10mL 1,000 $87.00 ● Active CMS + PDAC
43598-0086-58 DOXYCYCLINE 100 mg/10mL INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION Dr. 10 VIAL, SINGLE-DOSE in 1 CARTON (43598-08... 100 mg/10mL 1,000 $87.00 ● Active CMS + PDAC
51662-1402-01 DOXY 100(TM) DOXYCYCLINE 100 mg/10mL INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION HF 10 mL in 1 VIAL (51662-1402-1) 100 mg/10mL 100 $8.70 ● Active CMS ASP
51662-1402-03 DOXY 100(TM) DOXYCYCLINE 100 mg/10mL INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION HF 10 POUCH in 1 BOX (51662-1402-3) / 1 VIAL... 100 mg/10mL 1,000 $87.00 ● Active CMS ASP
63323-0130-11 Doxy 100 DOXYCYCLINE 100 mg/10mL INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION Fresenius 10 VIAL in 1 TRAY (63323-130-11) / 10 mL... 100 mg/10mL 1,000 $87.00 ● Active CMS + PDAC
63323-0130-13 Doxy 100 DOXYCYCLINE 100 mg/10mL INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION Fresenius 10 VIAL in 1 TRAY (63323-130-13) / 10 mL... 100 mg/10mL 1,000 $87.00 ● Active CMS ASP
63323-0130-17 Doxy 100 DOXYCYCLINE 100 mg/10mL INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION Fresenius 10 VIAL in 1 TRAY (63323-130-17) / 10 mL... 100 mg/10mL 1,000 $87.00 ● Active CMS ASP
66794-0237-41 DOXYCYCLINE 100 mg/10mL INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION Piramal 10 VIAL in 1 CARTON (66794-237-41) / 10 m... 100 mg/10mL 1,000 $87.00 ● Active CMS + PDAC
67457-0437-10 Doxycycline 100 mg/10mL INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION Mylan 10 VIAL in 1 CARTON (67457-437-10) / 10 m... 100 mg/10mL 1,000 $87.00 ● Active CMS ASP
68382-0910-10 Doxycycline 100 mg/10mL INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION Zydus 10 VIAL in 1 CARTON (68382-910-10) / 10 m... 100 mg/10mL 1,000 $87.00 ● Active CMS + PDAC
70436-0032-82 doxycycline hyclate 100 mg/10mL POWDER, FOR SOLUTION Slate 10 VIAL, SINGLE-DOSE in 1 CARTON (70436-03... 100 mg/10mL 1,000 $87.00 ● Active CMS + PDAC
70748-0338-10 DOXYCYCLINE 100 mg/10mL INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION Lupin 10 VIAL in 1 CARTON (70748-338-10) / 10 m... 100 mg/10mL 1,000 $87.00 ● Active CMS + PDAC
71288-0030-21 Doxycycline 100 mg/10mL INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION Meitheal 10 VIAL, SINGLE-DOSE in 1 CARTON (71288-03... 100 mg/10mL 1,000 $87.00 ● Active CMS + PDAC
72266-0237-05 DOXYCYCLINE 100 mg/10mL INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION FOSUN 5 VIAL in 1 CARTON (72266-237-05) / 10 mL... 100 mg/10mL 500 $43.50 ● Active CMS + PDAC
83634-0111-20 Doxycycline 100 mg/10mL INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION Avenacy 10 VIAL, SINGLE-DOSE in 1 CARTON (83634-11... 100 mg/10mL 1,000 $87.00 ● Active CMS ASP
16714-0644-10 DOXYCYCLINE SDV,LYOPHILIZED 100 MG Unknown 100 $8.70 PDAC
NDC→HCPCS mappings come from the CMS ASP NDC-HCPCS crosswalk; additional DME MAC / DMEPOS mappings come from PDAC and are labeled separately. NADAC from CMS (weekly). “Status” reflects the product's marketing / obsolete flag in the NDC directory. Presence or absence here does not determine Medicare coverage. Linked NDCs open the full product page.

📊 Medicare utilization & spend CMS · PART B · 2026 (Q1)

Period
Total Part B spend
$1.3K
Claims
33
Beneficiaries
33
Spend / beneficiary
$38.52
Spend / claim
$38.52
Trend by period
Where J1271 ranks among Part B drugs · 2026 (Q1) · neighbors ±5

Full breakdown by period (2)
PeriodTotal spendBeneficiariesClaims$/beneficiary$/claim
2026 (Q1) $1.3K 33 33 $38.52 $38.52
2025 (Q1-Q4) $8.6K 74 93 $116.76 $92.91
Provider-administered (Part B) spend, calculated for the whole HCPCS code (CMS does not publish Medicare spend per individual NDC). Self-administered use is covered under Part D instead. A blank patient count means fewer than 11 people — CMS hides counts that small to protect privacy. Source: CMS Medicare Quarterly Part B Spending by Drug (data.cms.gov), updated quarterly.

📈 Medicare Part B claims detail CMS PSPS · 2024

Calendar-year 2024 Medicare Part B fee-for-service activity for this HCPCS code, summed across all carriers, localities and specialties (CMS Physician/Supplier Procedure Summary). A “service” is one billed line/unit — not one claim — so counts run higher than claim counts.
Allowed charges
$1.5K
Medicare paid
$1.2K
Submitted services
21,043
Denial rate
38.1%
Allowed / service
$0.12
Submitted charges
$49.9K
Source: CMS Physician/Supplier Procedure Summary (PSPS), CY2024 — Medicare Part B carrier + DME fee-for-service claims (excludes Medicare Advantage). Figures are for the whole HCPCS code, which may cover uses beyond this drug. ⚠ CMS hides any figure covering fewer than 11 patients (a privacy rule), so totals — especially denials and low-volume codes — run a little low.

📊 What bills under J1271

J-codes are billing codes often used for drugs billed under the medical benefit. This connects the billing code to the NDC package records it covers, by ingredient and labeler.

NDC products by ingredient
DOXYCYCLINE 6
Doxycycline 4
doxycycline hyclate 2
doxycycline 2
NDC products by labeler
Fresenius Kabi USA, LLC 3
Slate Run Pharmaceuticals, LLC 2
Lupin Pharmaceuticals, Inc. 2
Hikma Pharmaceuticals USA Inc. 1
Par Health USA, LLC 1
Dr. Reddy's Laboratories, Inc. 1
Piramal Critical Care Inc 1
Zydus Pharmaceuticals USA Inc. 1

🗃️ Data sources & freshness

Every figure on this page is computed from public datasets. Here's what each section draws on and how current it is.
HCPCS code & descriptor
CMS HCPCS Level II code file
Not available in current dataset
Payment limit & billing unit
CMS Medicare Part B ASP Pricing File (quarterly)
Q3 2026 · as of 2026-08-20
NDC ↔ HCPCS crosswalk
CMS ASP NDC-HCPCS crosswalk + DMEPDAC (PDAC)
18 NDCs mapped
NADAC acquisition cost
CMS National Average Drug Acquisition Cost (weekly)
Not available for mapped NDCs
Utilization & spend
CMS Part B Spending by Drug · PSPS · Physician & Other Practitioners
Latest data year 2026
Figures are estimates for reference and may lag the source files. Always verify against the current CMS files and your payer's policy before submitting claims.

⚠️ Practical billing caveats

  • A crosswalk is not coverage. An NDC mapping or a published payment limit does not guarantee a payer will cover or pay this code. Check the specific plan's policy.
  • Units ≠ milligrams. Bill the number of HCPCS units (dose ÷ the code's unit size), not the milligram dose. Use the calculator above.
  • Discarded drug. For single-dose vials, drug discarded after administration may be separately billable with modifier JW (and JZ when nothing is discarded) where the payer allows.
  • Rounding & partial units. Many payers require whole units; round per the payer's policy, not automatically up.
  • The code can cover more than this drug. Some HCPCS codes span multiple products or strengths — confirm the exact code for the product administered.
  • Figures lag. ASP limits change quarterly and utilization data are released with a delay. Verify against the current CMS files before billing.

J1271 billing FAQ

What is HCPCS code J1271?
J1271 is a HCPCS Level II J-code used to bill Inj doxycycline hyclate 1 mg under Medicare Part B and most medical (not pharmacy) benefits.
What is the billing unit for J1271?
One unit of J1271 represents 1 MG. Report the number of units equal to the dose administered divided by 1 MG.
How many units of J1271 should I bill?
Divide the dose administered by the code's unit size (1 MG) to get the number of billing units, then round per your payer's policy. The calculator on this page converts a dose into billing units and projects a full course.
How much does Medicare pay for J1271?
The Medicare Part B payment limit is $0.087 per unit (Q3 2026), based on ASP + 6%. After the 2% sequester the effective payment is about $0.085 per unit. Payment limits are revised quarterly.
Which NDCs bill under J1271?
18 NDCs currently map to J1271 in the CMS ASP NDC-HCPCS crosswalk. See the NDC crosswalk table above for each product, package, billing units and estimated reimbursement.
Does a crosswalk mean J1271 is covered?
No. An NDC-to-HCPCS crosswalk and a published payment limit do not guarantee coverage or payment. Coverage depends on the payer, the diagnosis and the site of care — always verify the current policy before billing.
For professional billing reference only — verify against the current CMS files before submitting claims.