J2789

J2789 — Riboflavin 5'-phosphate, ophthalmic solution (epioxahd/epioxa), up to 2 ml

Q: What is HCPCS code J2789?

J2789 is a HCPCS Level II code for riboflavin 5'-phosphate, ophthalmic solution (epioxahd/epioxa), up to 2 ml. It sits in the Drugs Administered Other Than Oral Method section.

Q: Does Medicare cover J2789?

The CMS HCPCS file marks J2789 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.

Q: How is J2789 paid under the physician fee schedule?

J2789 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).

HCPCSActiveBETOS O1E

J2789 is a HCPCS Level II code for riboflavin 5'-phosphate, ophthalmic solution (epioxahd/epioxa), up to 2 ml. 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

Want the dollar amount for your locality? The fee calculator applies your GPCI and the current conversion factor.

The CMS record for J2789

Long descriptor: Riboflavin 5'-phosphate, ophthalmic solution (epioxahd/epioxa), up to 2 ml
Short descriptor: Riboflavin epioxa/hd<=2ml
Added: July 1, 2026
BETOS: O1E
Pricing indicator: 51 — Other

Codes adjacent to J2789

HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If J2789 is not quite right, the correct code is very often within a few positions of it.

J2780Injection, ranitidine hydrochloride, 25 mgterminated
J2781Injection, pegcetacoplan, intravitreal, 1 mg
J2782Injection, avacincaptad pegol, 0.1 mg
J2783Injection, rasburicase, 0.5 mg
J2785Injection, regadenoson, 0.1 mg
J2786Injection, reslizumab, 1 mg
J2787Riboflavin 5'-phosphate, ophthalmic solution (photrexa viscous/photrexa), up to 3 ml
J2788Injection, rho d immune globulin, human, minidose, 50 micrograms (250 i.u.)
J2790Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.)
J2791Injection, rho(d) immune globulin (human), (rhophylac), intramuscular or intravenous, 100 iu
J2792Injection, rho d immune globulin, intravenous, human, solvent detergent, 100 iu
J2793Injection, rilonacept, 1 mg
J2794Injection, risperidone (risperdal consta), 0.5 mg
J2795Injection, ropivacaine hydrochloride, 1 mg
J2796Injection, romiplostim, 10 microgramsterminated
J2797Injection, rolapitant, 0.5 mg

Questions about J2789

What is HCPCS code J2789?

J2789 is a HCPCS Level II code for riboflavin 5'-phosphate, ophthalmic solution (epioxahd/epioxa), up to 2 ml. It sits in the Drugs Administered Other Than Oral Method section.

Does Medicare cover J2789?

The CMS HCPCS file marks J2789 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 J2789 paid under the physician fee schedule?

J2789 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).