HCPCS drug code · CMS crosswalk
Adrenalin J-Code / HCPCS Code
In short
CMS assigns Adrenalin NDCs to 2 HCPCS codes: J0163 (per 0.1 mg), J0169 (per 0.1 mg). Which one applies depends on the product; the table lists each NDC with its code.
Reference
- J0163
- Injection, epinephrine in sodium chloride (endo), 0.1 mgBilling unit: 0.1 mg
- J0169
- Injection, epinephrine (adrenalin), not therapeutically equivalent to j0165, 0.1 mgBilling unit: 0.1 mg
- Labelers
- Endo USA, Inc.; Henry Schein 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
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
Adrenalin units and claim line
Enter the dose given to get the J0163 units and the NDC line for the CMS-1500 and the 837P. This builds the J0163 line; use the code page for J0169.
Enter the dose given to build the claim line.
Adrenalin 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 |
|---|---|---|---|---|
| 42023-0273-10 | J0163 | Endo USA, Inc. | 10 × 250 | 200 |
| 42023-0315-10 | J0163 | Endo USA, Inc. | 10 × 250 | 400 |
| 42023-0434-10 | J0163 | Endo USA, Inc. | 10 × 250 | 500 |
| 42023-0500-10 | J0163 | Endo USA, Inc. | 10 × 250 | 800 |
| 42023-0721-10 | J0163 | Endo USA, Inc. | 10 × 250 | 1000 |
| 00404-9810-01 | J0169 | Henry Schein Inc. | 1 | 10 |
| 42023-0159-25 | J0169 | Endo USA, Inc. | 25 × 1 | 250 |
Adrenalin: common questions
- What is the J-code for Adrenalin?
- CMS assigns Adrenalin NDCs to 2 HCPCS codes: J0163 (per 0.1 mg), J0169 (per 0.1 mg). Which one applies depends on the product; the table lists each NDC with its code.
- How many J0163 billing units are in a package of Adrenalin?
- CMS lists 200 to 1,000 billing units per package, depending on the NDC, where one unit is 0.1 mg. Units to report are based on the dose given, not the package.
- How many J0169 billing units are in a package of Adrenalin?
- CMS lists 10 to 250 billing units per package, depending on the NDC, where one unit is 0.1 mg. Units to report are based on the dose given, not the package.
- Is J0163 a CPT code?
- No. J0163 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.
Other codes for the same drug
- J0162Injection, epinephrine (fresenius), not therapeutically equivalent to j0165, 0.1 mg
- J0164Injection, epinephrine in sodium chloride (baxter), 0.1 mg
- J0165Injection, epinephrine, not otherwise specified, 0.1 mg
- J0166Injection, epinephrine (bpi), not therapeutically equivalent to j0165, 0.1 mg
- J0167Injection, epinephrine (hospira), not therapeutically equivalent to j0165, 0.1 mg
- J0168Injection, epinephrine (international medication systems), not therapeutically equivalent to j0165, 0.1 mg