HCPCS drug code · CMS crosswalk
Botox Cosmetic J-Code / HCPCS Code
In short
Botox Cosmetic is billed under HCPCS J0585 — Injection, onabotulinumtoxina, 1 unit. One billing unit is 1 unit. CMS's crosswalk lists 2 Botox Cosmetic NDCs under this code.
Reference
- J0585
- Injection, onabotulinumtoxina, 1 unitBilling unit: 1 unit
- Labelers
- Allergan, Inc.
Medicare Part B payment limit
CMS ASP filePayment limit per unit$6.514
Per1 unit
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
Botox Cosmetic units and claim line
Enter the dose given to get the J0585 units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Botox Cosmetic 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 |
|---|---|---|---|---|
| 00023-3919-50 | J0585 | Allergan, Inc. | 1 | 50 |
| 00023-9232-01 | J0585 | Allergan, Inc. | 1 | 100 |
Botox Cosmetic: common questions
- What is the J-code for Botox Cosmetic?
- Botox Cosmetic is billed under HCPCS J0585 — Injection, onabotulinumtoxina, 1 unit. One billing unit is 1 unit. CMS's crosswalk lists 2 Botox Cosmetic NDCs under this code.
- How many J0585 billing units are in a package of Botox Cosmetic?
- CMS lists 50 to 100 billing units per package, depending on the NDC, where one unit is 1 unit. Units to report are based on the dose given, not the package.
- Is J0585 a CPT code?
- No. J0585 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.