HCPCS J1094
Status I Not valid for Medicare purposes. Medicare uses another code for this service. Full definition → HCPCS Level IIInj dexamethasone acetate
No national payment amount
Status I is not separately payable under the PFS.
Not valid for Medicare purposes. Medicare uses another code for this service.
Common questions
Why is there no payment amount for J1094?
Its status indicator is I (not valid). Not valid for Medicare purposes. Medicare uses another code for this service. The blank is deliberate: the amount is unknown or paid another way, not zero.
When does this rate change?
CMS publishes a fee schedule release every quarter (January, April, July, October). Each release is versioned here, so past quarters stay lookupable — see what changed each release, or get an email when a new release moves rates.
Sources: CMS Medicare Physician Fee Schedule Relative Value Files.
Saw this code on your bill?
What is a J1094 visit in patient-friendly terms?
In plain terms: Inj dexamethasone acetate You'll typically see HCPCS J1094 on a bill or explanation of benefits (EOB) when a clinician performs or bills for this service.
How this amount is computed
amount = (work RVU × work GPCI + PE RVU × PE GPCI + MP RVU × MP GPCI) × conversion factor. National amounts use GPCI = 1.000.
| Component | RVU |
|---|---|
| Work RVU | blank |
| Practice expense RVU (non-facility) | blank |
| Practice expense RVU (facility) | blank |
| Malpractice RVU | blank |
Every rate combines three parts: work (the clinician’s time, skill and effort), practice expense (office overhead — higher when the service is done in a doctor’s own office), and malpractice (the share of liability-insurance cost). A value of blank means CMS publishes no national number for that part — which is not the same as zero.
Rate history by release
National non-facility amount for J1094 across quarterly releases.