HCPCS drug code · CMS crosswalk
Bivalirudin J-Code / HCPCS Code
In short
CMS assigns Bivalirudin NDCs to 2 HCPCS codes: J0582 (per 1 mg), J0583 (per 1 mg). Which one applies depends on the product; the table lists each NDC with its code.
Reference
- J0582
- Injection, bivalirudin (endo), not therapeutically equivalent to j0583, 1 mgBilling unit: 1 mg
- J0583
- Injection, bivalirudin, 1 mgBilling unit: 1 mg
- Labelers
- Accord Healthcare Inc; Avenacy Inc.; Civica, Inc.; Dr. Reddy's Laboratories Inc.; Endo USA, Inc.; Eugia US LLC; FreseniUS Kabi USA, LLC; Meitheal Pharmaceuticals Inc.and 3 more
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
Bivalirudin units and claim line
Enter the dose given to get the J0582 units and the NDC line for the CMS-1500 and the 837P. This builds the J0582 line; use the code page for J0583.
Enter the dose given to build the claim line.
Bivalirudin 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 |
|---|---|---|---|---|
| 42023-0622-10 | J0582 | Endo USA, Inc. | 10 × 50 | 2500 |
| 00781-3158-95 | J0583 | Sandoz Inc. | 10 × 1 | 2500 |
| 00781-9158-95 | J0583 | Sandoz Inc. | 10 × 1 | 2500 |
| 16729-0275-67 | J0583 | Accord Healthcare Inc | 10 × 1 | 2500 |
| 55111-0652-37 | J0583 | Dr. Reddy's Laboratories Inc. | 10 × 1 | 2500 |
| 55150-0210-10 | J0583 | Eugia US LLC | 10 × 1 | 2500 |
| 63323-0562-10 | J0583 | FreseniUS Kabi USA, LLC | 10 × 1 | 2500 |
| 63323-0562-15 | J0583 | FreseniUS Kabi USA, LLC | 10 × 1 | 2500 |
| 67457-0256-10 | J0583 | Mylan Institutional LLC | 10 × 1 | 2500 |
| 70436-0025-82 | J0583 | Slate Run Pharmaceuticals | 10 × 1 | 2500 |
| 71288-0427-11 | J0583 | Meitheal Pharmaceuticals Inc. | 10 × 1 | 2500 |
| 71288-0427-92 | J0583 | Meitheal Pharmaceuticals Inc. | 10 × 1 | 2500 |
| 72572-0035-10 | J0583 | Civica, Inc. | 10 × 1 | 2500 |
| 83634-0400-10 | J0583 | Avenacy Inc. | 10 × 1 | 2500 |
Bivalirudin: common questions
- What is the J-code for Bivalirudin?
- CMS assigns Bivalirudin NDCs to 2 HCPCS codes: J0582 (per 1 mg), J0583 (per 1 mg). Which one applies depends on the product; the table lists each NDC with its code.
- How many J0582 billing units are in a package of Bivalirudin?
- CMS lists 2,500 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.
- How many J0583 billing units are in a package of Bivalirudin?
- CMS lists 2,500 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 J0582 a CPT code?
- No. J0582 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.