HCPCS Level II › J codes J3244 Inj. tigecycline (accord)Injection, tigecycline (accord), not therapeutically equivalent to j3243, 1 mg
Medicare coverage: Carrier judgment Status: active (October 2026 file) Medically Unlikely Edits (effective October 1, 2026) Practitioner: max 150 units per day (clinical), rationale: Prescribing Information Outpatient hospital: max 200 units per day (clinical), rationale: Prescribing Information DME supplier: max 150 units per day (clinical), rationale: Prescribing Information Medicare pricing for J3244 Physician Fee Schedule (CY 2026, RVU26D) Status E: excluded from the PFS by regulation.
Payer policies and prior authorization for J3244 Payer coverage policies that name J3244 J3244 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 Prior authorization required or conditional in VT.
AZ: $2.50 (outpatient_hospital), effective Oct 1, 2025 IN: $2.24 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2023 KS: $2.50 (default), effective Jan 1, 2023 KY: $0.00 (asc), effective Jan 1, 2026 LA: $2.50 (professional), effective Jan 1, 2023 NE: $2.67 (injectables), effective Jul 1, 2026 OH: $0.60 (provider_administered_drugs), effective Apr 1, 2023 OK: $0.60 (physician, non-facility), effective Jul 1, 2026 TX: $2.87 (nurse_practitioner_clinical_nurse_specialist, Nurse Practitioner/Clinical Nurse Specialist, non-facility), effective Jan 1, 2023 VA: $0.59 (medical), effective Apr 1, 2023 VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $2.50 (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.