HCPCS Level II › J codes J2710 Neostigmine methylslfte injInjection, neostigmine methylsulfate, up to 0.5 mg
Medicare coverage: Special coverage instructions apply Status: active (October 2026 file) Medically Unlikely Edits (effective October 1, 2026) Practitioner: max 2 units per day (clinical), rationale: Clinical: Society Comment Outpatient hospital: max 10 units per day (clinical), rationale: Clinical: Data DME supplier: max 0 units per day (clinical), rationale: CMS Policy Medicare pricing for J2710 Physician Fee Schedule (CY 2026, RVU26D) Status E: excluded from the PFS by regulation.
Payer policies and prior authorization for J2710 Payer coverage policies that name J2710 J2710 appears in 1 coverage policy from Aetna.
Payer Policy Role in policy Reviewed Document Aetna Injectable Medications (0020) listed, no stance (range J2550-J3520) Mar 5, 2026 payer document
Medicaid fee-for-service AZ: $0.70 (outpatient_hospital), effective Jan 1, 2026 IN: $0.10 (professional, Advanced Practice Nurse (85%), non-facility), effective Jul 1, 2024 KS: $0.70 (default), effective Apr 1, 2026 KY: $0.00 (asc), effective Jan 1, 2026 MS: $0.90 (comprehensive), effective Jul 1, 2026 NE: $0.75 (injectables), effective Jul 1, 2026 OH: $0.08 (provider_administered_drugs), effective Sep 1, 2013 OK: $0.00 (outpatient_hospital_apc), effective Jan 1, 2026 TX: $1.73 (nurse_practitioner_clinical_nurse_specialist, Nurse Practitioner/Clinical Nurse Specialist, non-facility), effective Sep 1, 2025 VA: $0.09 (medical), effective Jul 1, 2009 VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $0.14 (professional_administered_drugs), effective Jul 1, 2026 WY: $0.00 (outpatient_hospital_apc, Children's Hospitals), 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.