2025 HCPCS code J0131

Injection of acetaminophen, 10 mg; used for pain and fever management when oral medication is unsuitable.

Follow CMS guidelines and payer-specific policies for reporting intravenous medication administration.

Modifiers may apply depending on the circumstances of administration (e.g., modifier JW for discarded portion). Check payer guidelines.

Intravenous acetaminophen is medically necessary when oral administration is not feasible due to factors such as nausea, vomiting, inability to swallow, or the need for rapid pain or fever reduction.

Physician or other qualified healthcare professional authorized to administer intravenous medications.

IMPORTANT J0136, J0137 (acetaminophen injections from different manufacturers, not therapeutically equivalent to J0131)

In simple words: This code covers giving a small amount (10 mg) of acetaminophen (pain reliever/fever reducer) through an IV, mainly when the patient can't take medicine by mouth.

This HCPCS code, J0131, represents the intravenous administration of 10 mg of acetaminophen.It's used to manage pain and fever in situations where oral administration is not feasible or a rapid response is required. The code applies specifically to instances where no more specific acetaminophen injection code is available.Each 10 mg of acetaminophen administered requires a separate code.

Example 1: A patient in the emergency room with severe pain and nausea is unable to take oral medication.The physician administers intravenous acetaminophen (10mg) for pain relief., A pediatric patient undergoing surgery experiences post-operative fever. The anesthesiologist administers intravenous acetaminophen to reduce the fever., A patient with severe vomiting is admitted to the hospital.The attending physician orders intravenous acetaminophen (in multiple doses) to manage discomfort.

* Medical record documenting the reason for intravenous administration.* Documentation of the total dose of acetaminophen administered.* Physician's order for the medication.* Confirmation of patient's inability to take oral medication.

** This code represents only the supply of 10mg of acetaminophen. Separate codes may be required to bill for the administration of the drug.Always refer to payer-specific guidelines for accurate billing practices.J0131 is a "not otherwise specified" code.If a more specific code exists, that should be used instead.

  • Payment Status: Active
  • Modifier TC rule: The TC modifier likely does not apply as this code refers to the drug itself, not a technical component of a procedure.
  • Specialties:Emergency Medicine, Anesthesiology, Hospital Medicine, Pediatrics
  • Place of Service:Inpatient Hospital, Emergency Room - Hospital, Ambulatory Surgical Center
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