J2561 — Injection, phenobarbital sodium (sezaby), 1 mg
J2561 is a HCPCS Level II code for injection, phenobarbital sodium (sezaby), 1 mg. It belongs to the Drugs Administered Other Than Oral Method section. Whether Medicare pays it depends on the coverage rule below.
Medicare coverage: Carrier judgment
Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.
Physician fee schedule statusE
Excluded from the physician fee schedule by regulation. Payment, where it exists, comes from another fee schedule (drugs via ASP, supplies via DMEPOS, and so on).
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The CMS record for J2561
- Long descriptor
- Injection, phenobarbital sodium (sezaby), 1 mg
- Short descriptor
- Inj, sezaby, 1 mg
- Added
- July 1, 2023
- BETOS
- O1E
- Pricing indicator
- 51 — Other
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
Berenson-Eggers Type of Service — CMS's own analytic grouping.
Drugs.
Codes adjacent to J2561
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If J2561 is not quite right, the correct code is very often within a few positions of it.
- J2515Injection, pentobarbital sodium, per 50 mg
- J2516Injection, pentamidine isethionate, 1 mg
- J2540Injection, penicillin g potassium, up to 600,000 units
- J2543Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams)
- J2545Pentamidine isethionate, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 300 mg
- J2547Injection, peramivir, 1 mg
- J2550Injection, promethazine hcl, up to 50 mg
- J2560Injection, phenobarbital sodium, up to 120 mg
- J2562Injection, plerixafor, 1 mg
- J2590Injection, oxytocin, up to 10 units
- J2596Injection, vasopressin (long grove), not therapeutically equivalent to j2598, 1 unit
- J2597Injection, desmopressin acetate, per 1 mcg
- J2598Injection, vasopressin, 1 unit
- J2599Injection, vasopressin (american regent), not therapeutically equivalent to j2598, 1 unit
- J2601Injection, vasopressin (baxter), 1 unit
- J2650Injection, prednisolone acetate, up to 1 ml
Questions about J2561
What is HCPCS code J2561?
J2561 is a HCPCS Level II code for injection, phenobarbital sodium (sezaby), 1 mg. It sits in the Drugs Administered Other Than Oral Method section.
Does Medicare cover J2561?
The CMS HCPCS file marks J2561 as "Carrier judgment". Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
How is J2561 paid under the physician fee schedule?
J2561 carries PFS status code E. Excluded from the physician fee schedule by regulation. Payment, where it exists, comes from another fee schedule (drugs via ASP, supplies via DMEPOS, and so on).