In short

Bicillin CR is billed under HCPCS J0558 — Injection, penicillin g benzathine and penicillin g procaine, 100,000 units. One billing unit is 100,000 units. CMS's crosswalk lists 3 Bicillin CR NDCs under this code.

J0558 code details

Reference

J0558
Injection, penicillin g benzathine and penicillin g procaine, 100,000 unitsBilling unit: 100,000 units
Labelers
Pfizer Inc

Medicare Part B payment limit

CMS ASP file
Payment limit per unit$19.523
Per100,000 units
Coinsurance15.704%

Effective October 1, 2026 through December 31, 2026. Payment allowance limits subject to the ASP methodology are based on 2Q26 ASP data. CMS note: Inflation-adjusted coinsurance. A payment limit is not a coverage decision; the Medicare contractor decides coverage. CMS ASP pricing files

Bicillin CR units and claim line

Enter the dose given to get the J0558 units and the NDC line for the CMS-1500 and the 837P.

Enter the units to build the claim line.

Bicillin CR 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.

Bicillin CR NDCs in the CMS ASP crosswalk
NDC (11-digit)HCPCSLabelerPackageBilling units per package
60793-0600-10J0558Pfizer Inc10 × 2120
60793-0601-10J0558Pfizer Inc10 × 2120
60793-0602-10J0558Pfizer Inc10 × 2120

Bicillin CR: common questions

What is the J-code for Bicillin CR?
Bicillin CR is billed under HCPCS J0558 — Injection, penicillin g benzathine and penicillin g procaine, 100,000 units. One billing unit is 100,000 units. CMS's crosswalk lists 3 Bicillin CR NDCs under this code.
How many J0558 billing units are in a package of Bicillin CR?
CMS lists 120 billing units per package, depending on the NDC, where one unit is 100,000 units. Units to report are based on the dose given, not the package.
Is J0558 a CPT code?
No. J0558 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.

Related

Free account

Keep searching with a free account

You’ve used your 3 free searches for this session. Log in or create a free Med-Code account to keep looking up NDCs, J-codes and drugs.

Create a free accountLog in