In short

Brixadi (monthly dosing) is billed under HCPCS J0578 — Injection, buprenorphine extended release (brixadi), greater than 7 days and up to 28 days of therapy. One billing unit is greater than 7 days and up to 28 days of therapy. CMS's crosswalk lists 3 Brixadi (monthly dosing) NDCs under this code.

J0578 code details

Reference

J0578
Injection, buprenorphine extended release (brixadi), greater than 7 days and up to 28 days of therapyBilling unit: greater than 7 days and up to 28 days of therapy
Labelers
Braeburn Inc.

Medicare Part B payment limit

CMS ASP file
Payment limit per unit$1,732.667
Pergreater than 7 days and up to 28 days of therapy
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

Brixadi (monthly dosing) units and claim line

Enter the dose given to get the J0578 units and the NDC line for the CMS-1500 and the 837P.

Enter the units to build the claim line.

Brixadi (monthly dosing) 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.

Brixadi (monthly dosing) NDCs in the CMS ASP crosswalk
NDC (11-digit)HCPCSLabelerPackageBilling units per package
58284-0228-01J0578Braeburn Inc.0.361
58284-0264-01J0578Braeburn Inc.0.181
58284-0296-01J0578Braeburn Inc.0.271

Brixadi (monthly dosing): common questions

What is the J-code for Brixadi (monthly dosing)?
Brixadi (monthly dosing) is billed under HCPCS J0578 — Injection, buprenorphine extended release (brixadi), greater than 7 days and up to 28 days of therapy. One billing unit is greater than 7 days and up to 28 days of therapy. CMS's crosswalk lists 3 Brixadi (monthly dosing) NDCs under this code.
How many J0578 billing units are in a package of Brixadi (monthly dosing)?
CMS lists 1 billing units per package, depending on the NDC, where one unit is greater than 7 days and up to 28 days of therapy. Units to report are based on the dose given, not the package.
Is J0578 a CPT code?
No. J0578 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.

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