J1921 — Injection, labetalol hydrochloride (hikma), not therapeutically equivalent to j1920, 5 mg
J1921 is a HCPCS Level II code for injection, labetalol hydrochloride (hikma), not therapeutically equivalent to j1920, 5 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).
Global period: XXX
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The CMS record for J1921
- Long descriptor
- Injection, labetalol hydrochloride (hikma), not therapeutically equivalent to j1920, 5 mg
- Short descriptor
- Inj labetalol hcl hikma, 5mg
- 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 J1921
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If J1921 is not quite right, the correct code is very often within a few positions of it.
- J1835Injection, itraconazole, 50 mg
- J1836Injection, metronidazole, 10 mg
- J1837Injection, posaconazole, 1 mg
- J1840Injection, kanamycin sulfate, up to 500 mgterminated
- J1850Injection, kanamycin sulfate, up to 75 mgterminated
- J1885Injection, ketorolac tromethamine, per 15 mg
- J1890Injection, cephalothin sodium, up to 1 gramterminated
- J1920Injection, labetalol hydrochloride, 5 mg
- J1930Injection, lanreotide, 1 mg
- J1931Injection, laronidase, 0.1 mg
- J1932Injection, lanreotide, (cipla), 1 mg
- J1938Injection, furosemide, 1 mg
- J1939Injection, bumetanide, 0.5 mg
- J1940Injection, furosemide, up to 20 mgterminated
- J1941Injection, furosemide (furoscix), 20 mg
- J1942Injection, aripiprazole lauroxil, 1 mgterminated
Questions about J1921
What is HCPCS code J1921?
J1921 is a HCPCS Level II code for injection, labetalol hydrochloride (hikma), not therapeutically equivalent to j1920, 5 mg. It sits in the Drugs Administered Other Than Oral Method section.
Does Medicare cover J1921?
The CMS HCPCS file marks J1921 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 J1921 paid under the physician fee schedule?
J1921 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).