J0013 — Esketamine, nasal spray, 1 mg
J0013 is a HCPCS Level II code for esketamine, nasal spray, 1 mg. It belongs to the Drugs Administered Other Than Oral Method section. Medicare does not pay it — see the coverage note below before you bill it.
Medicare coverage: Not payable by Medicare
Medicare does not pay this code. It may still be valid for another payer, but a Medicare claim carrying it will not be reimbursed.
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 statusN
Non-covered service. Medicare does not cover it.
Global period: XXX
Want the dollar amount for your locality? The fee calculator applies your GPCI and the current conversion factor.
The CMS record for J0013
- Long descriptor
- Esketamine, nasal spray, 1 mg
- Short descriptor
- Esketamine, nasal spray
- Added
- January 1, 2026
- BETOS
- O1E
- Pricing indicator
- 00 — Not priced by Part B
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.
Service not separately priced by Part B — not covered, bundled into another service, or used by Part A only.
Codes adjacent to J0013
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If J0013 is not quite right, the correct code is very often within a few positions of it.
- H2033Multisystemic therapy for juveniles, per 15 minutes
- H2034Alcohol and/or drug abuse halfway house services, per diem
- H2035Alcohol and/or other drug treatment program, per hour
- H2036Alcohol and/or other drug treatment program, per diem
- H2037Developmental delay prevention activities, dependent child of client, per 15 minutes
- H2038Skills training and development, per diem
- H2040Coordinated specialty care, team-based, for first episode psychosis, per month
- H2041Coordinated specialty care, team-based, for first episode psychosis, per encounter
- J0120Injection, tetracycline, up to 250 mg
- J0121Injection, omadacycline, 1 mg
- J0122Injection, eravacycline, 1 mg
- J0129Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)
- J0130Injection abciximab, 10 mg
- J0131Injection, acetaminophen, not otherwise specified,10 mg
- J0132Injection, acetylcysteine, 100 mg
- J0133Injection, acyclovir, 5 mg
Questions about J0013
What is HCPCS code J0013?
J0013 is a HCPCS Level II code for esketamine, nasal spray, 1 mg. It sits in the Drugs Administered Other Than Oral Method section.
Does Medicare cover J0013?
The CMS HCPCS file marks J0013 as "Not payable by Medicare". Medicare does not pay this code. It may still be valid for another payer, but a Medicare claim carrying it will not be reimbursed.
How is J0013 paid under the physician fee schedule?
J0013 carries PFS status code N. Non-covered service. Medicare does not cover it.