HCPCS drug code · CMS crosswalk
Benztropine J-Code / HCPCS Code
In short
Benztropine is billed under HCPCS J0515 — Injection, benztropine mesylate, per 1 mg. One billing unit is 1 mg. CMS's crosswalk lists 2 Benztropine NDCs under this code.
Reference
- J0515
- Injection, benztropine mesylate, per 1 mgBilling unit: 1 mg
- Labelers
- Hikma Pharmaceuticals USA Inc.; Zydus Pharmaceuticals (USA) Inc.
Medicare Part B payment limit
CMS ASP filePayment limit per unit$12.262
Per1 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
Benztropine units and claim line
Enter the dose given to get the J0515 units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Benztropine 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 |
|---|---|---|---|---|
| 00143-9233-05 | J0515 | Hikma Pharmaceuticals USA Inc. | 5 × 2 | 10 |
| 68382-0860-10 | J0515 | Zydus Pharmaceuticals (USA) Inc. | 5 × 2 | 10 |
Benztropine: common questions
- What is the J-code for Benztropine?
- Benztropine is billed under HCPCS J0515 — Injection, benztropine mesylate, per 1 mg. One billing unit is 1 mg. CMS's crosswalk lists 2 Benztropine NDCs under this code.
- How many J0515 billing units are in a package of Benztropine?
- CMS lists 10 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 J0515 a CPT code?
- No. J0515 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.