In short

Acyclovir Sodium is billed under HCPCS J0133 — Injection, acyclovir, 5 mg. One billing unit is 5 mg. CMS's crosswalk lists 9 Acyclovir Sodium NDCs under this code.

J0133 code details

Reference

J0133
Injection, acyclovir, 5 mgBilling unit: 5 mg
Labelers
Eugia US LLC; FreseniUS Kabi USA, LLC; Slate Run Pharmaceuticals

Medicare Part B payment limit

CMS ASP file
Payment limit per unit$0.048
Per5 mg
Coinsurance20%

Effective 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

Acyclovir Sodium units and claim line

Enter the dose given to get the J0133 units and the NDC line for the CMS-1500 and the 837P.

Enter the dose given to build the claim line.

Acyclovir Sodium 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.

Acyclovir Sodium NDCs in the CMS ASP crosswalk
NDC (11-digit)HCPCSLabelerPackageBilling units per package
55150-0154-10J0133Eugia US LLC10 × 101000
55150-0155-20J0133Eugia US LLC10 × 202000
63323-0325-10J0133FreseniUS Kabi USA, LLC10 × 201000
63323-0325-14J0133FreseniUS Kabi USA, LLC10 × 101000
63323-0325-20J0133FreseniUS Kabi USA, LLC10 × 202000
63323-0325-24J0133FreseniUS Kabi USA, LLC10 × 202000
65219-0622-10J0133FreseniUS Kabi USA, LLC10 × 101000
65219-0624-20J0133FreseniUS Kabi USA, LLC10 × 202000
70436-0030-82J0133Slate Run Pharmaceuticals10 × 101000

Acyclovir Sodium: common questions

What is the J-code for Acyclovir Sodium?
Acyclovir Sodium is billed under HCPCS J0133 — Injection, acyclovir, 5 mg. One billing unit is 5 mg. CMS's crosswalk lists 9 Acyclovir Sodium NDCs under this code.
How many J0133 billing units are in a package of Acyclovir Sodium?
CMS lists 1,000 to 2,000 billing units per package, depending on the NDC, where one unit is 5 mg. Units to report are based on the dose given, not the package.
Is J0133 a CPT code?
No. J0133 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.

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