HCPCS Level II › J codes J2601 Inj, vasopressin (baxter)Injection, vasopressin (baxter), 1 unit
Medicare coverage: Carrier judgment Status: active (October 2026 file) Medically Unlikely Edits (effective October 1, 2026) Practitioner: max 160 units per day (clinical), rationale: CMS Policy Outpatient hospital: max 160 units per day (clinical), rationale: CMS Policy DME supplier: max 160 units per day (clinical), rationale: CMS Policy Medicare pricing for J2601 Medicare Part B drug payment limit (ASP, October 2026) J2601 payment limit: $2.328 per 1 UNIT, effective October 1, 2026 through December 31, 2026, based on 2Q26 ASP data. Coinsurance 20%.
NDCs that bill under J2601 (CMS ASP NDC-HCPCS crosswalk, October 2026) 00338-9640-12 Vasopressin, Baxter Healthcare Corporation: 240 billing units per package (12 BAG in 1 CARTON / 100 mL in 1 BAG)00338-9647-12 Vasopressin, Baxter Healthcare Corporation: 480 billing units per package (12 BAG in 1 CARTON / 100 mL in 1 BAG)Physician Fee Schedule (CY 2026, RVU26D) Status E: excluded from the PFS by regulation.
Payer policies and prior authorization for J2601 Payer coverage policies that name J2601 J2601 appears in 2 coverage policies from Aetna.
Payer Policy Role in policy Reviewed Document Aetna Injectable Medications (0020) listed, no stance (range J2550-J3520) Mar 5, 2026 payer document Aetna Liver Transplantation (0596) not covered Sep 8, 2026 payer document
Medicaid fee-for-service AZ: $2.11 (asc), effective Oct 1, 2026 FL: $40.00 (physician_administered_drugs), effective Jan 1, 2026 IN: $3.35 (professional, Advanced Practice Nurse (85%), non-facility), effective Oct 1, 2024 KY: $2.22 (asc), effective Jan 1, 2026 MS: $1.53 (comprehensive), effective Jul 1, 2026 NE: $1.75 (injectables), effective Jul 1, 2026 OH: $1.53 (provider_administered_drugs), effective Jul 1, 2026 OK: $1.75 (physician, non-facility), effective Jul 1, 2026 TX: $2.22 (healthy_texas_women, Clinic/Group Practice, non-facility), effective Sep 1, 2026 VT: $1.53 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $1.75 (professional_administered_drugs), effective Jul 1, 2026 WY: $0.66 (outpatient_hospital_apc, Ambulatory Surgical Centers), effective Apr 1, 2026 From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.