J2003 Inj, lidocaine hcl, 1 mg
What J2003 is
Injection, lidocaine hydrochloride, 1 mg
HCPCS Level II long description, CMS October 2026 file. See the J codes page for the full section.
Medicare payment for J2003 (CY2026)
This code has no Physician Fee Schedule rate: Excluded from the Physician Fee Schedule (paid under another system or not priced here). It may be paid under a different fee schedule (clinical laboratory, DMEPOS, anesthesia) or not paid at all - check the relevant CMS schedule.
Medically Unlikely Edit (MUE)
Medicare caps J2003 at 300 units per date of service for practitioner claims (MAI 3 - date of service edit (clinical): units above the MUE may pay with documentation on appeal), rationale: Clinical: CMS Workgroup. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.
J2003 is bundled into these codes
J2003 appears as a Column 2 code in 7 active edits. Reported with one of these Column 1 codes on the same date of service, J2003 is the code that denies.
| Column 1 code | Short description | Modifier indicator | |
|---|---|---|---|
15011 | Hrv skn cll ssp agrft 1st 25 | 1 | Check pair |
15013 | Prepj skn cll ssp agrft 1st | 1 | Check pair |
15015 | App skn cl ssp agrft t/a/l 1 | 1 | Check pair |
15017 | App skn cll ssp f/n/g/hf 1st | 1 | Check pair |
51721 | Ins trurl ablt trnsdc thr us | 1 | Check pair |
53865 | Cysto insj dev ischmc rmdlg | 1 | Check pair |
53866 | Cathj rmvl dev ischmc rmdlg | 1 | Check pair |
Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.