HCPCS drug code · CMS crosswalk
Abilify Maintena J-Code / HCPCS Code
In short
Abilify Maintena is billed under HCPCS J0401 — Injection, aripiprazole (abilify maintena), 1 mg. One billing unit is 1 mg. CMS's crosswalk lists 6 Abilify Maintena NDCs under this code.
Reference
- J0401
- Injection, aripiprazole (abilify maintena), 1 mgBilling unit: 1 mg
- Labelers
- Otsuka America Pharmaceuticals Inc.
Medicare Part B payment limit
CMS ASP fileEffective October 1, 2026 through December 31, 2026. Payment allowance limits subject to the ASP methodology are based on 2Q26 ASP data. A payment limit is not a coverage decision; the Medicare contractor decides coverage. CMS ASP pricing files
Abilify Maintena units and claim line
Enter the dose given to get the J0401 units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Abilify Maintena NDCs and billing units
From CMS’s ASP NDC–HCPCS crosswalk, effective October 1, 2026 through December 31, 2026. Billing units per package are CMS’s figures for the code’s unit.
| NDC (11-digit) | HCPCS | Labeler | Package | Billing units per package |
|---|---|---|---|---|
| 59148-0018-71 | J0401 | Otsuka America Pharmaceuticals Inc. | 1 | 300 |
| 59148-0019-71 | J0401 | Otsuka America Pharmaceuticals Inc. | 1 | 400 |
| 59148-0045-80 | J0401 | Otsuka America Pharmaceuticals Inc. | 1 | 300 |
| 59148-0072-80 | J0401 | Otsuka America Pharmaceuticals Inc. | 1 | 400 |
| 59148-0232-12 | J0401 | Otsuka America Pharmaceuticals Inc. | 1 | 300 |
| 59148-0245-12 | J0401 | Otsuka America Pharmaceuticals Inc. | 1 | 400 |
Abilify Maintena: common questions
- What is the J-code for Abilify Maintena?
- Abilify Maintena is billed under HCPCS J0401 — Injection, aripiprazole (abilify maintena), 1 mg. One billing unit is 1 mg. CMS's crosswalk lists 6 Abilify Maintena NDCs under this code.
- How many J0401 billing units are in a package of Abilify Maintena?
- CMS lists 300 to 400 billing units per package, depending on the NDC, where one unit is 1 mg. Units to report are based on the dose given, not the package.
- Is J0401 a CPT code?
- No. J0401 is a HCPCS Level II code from CMS for the drug itself. Giving it, for example by injection or infusion, is usually reported with a separate CPT administration code.