HCPCS drug code · CMS crosswalk
Cabenuva J-Code / HCPCS Code
In short
Cabenuva is billed under HCPCS J0741 — Injection, cabotegravir and rilpivirine, 2mg/3mg. One billing unit is 2 mg - 3 mg. CMS's crosswalk lists 2 Cabenuva NDCs under this code.
Reference
- J0741
- Injection, cabotegravir and rilpivirine, 2mg/3mgBilling unit: 2 mg - 3 mg
- Labelers
- ViiV Healthcare Company
Medicare Part B payment limit
CMS ASP filePayment limit per unit$24.649
Per2mg/3mg
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
Cabenuva units and claim line
Enter the dose given to get the J0741 units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Cabenuva 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 |
|---|---|---|---|---|
| 49702-0240-15 | J0741 | ViiV Healthcare Company | 6 | 300 |
| 49702-0253-15 | J0741 | ViiV Healthcare Company | 4 | 200 |
Cabenuva: common questions
- What is the J-code for Cabenuva?
- Cabenuva is billed under HCPCS J0741 — Injection, cabotegravir and rilpivirine, 2mg/3mg. One billing unit is 2 mg - 3 mg. CMS's crosswalk lists 2 Cabenuva NDCs under this code.
- How many J0741 billing units are in a package of Cabenuva?
- CMS lists 200 to 300 billing units per package, depending on the NDC, where one unit is 2 mg - 3 mg. Units to report are based on the dose given, not the package.
- Is J0741 a CPT code?
- No. J0741 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.