In short

Capecitabine is billed under HCPCS J8522 — Capecitabine, oral, 50 mg. One billing unit is 50 mg. CMS's crosswalk lists 23 Capecitabine NDCs under this code.

J8522 code details

Reference

J8522
Capecitabine, oral, 50 mgBilling unit: 50 mg
Labelers
Accord Healthcare Inc; American Health Packaging; Ascend Laboratories, LLC; Aurobindo Pharma Usa, Inc.; BluePoint Laboratories; Cipla USA, Inc.; Dr. Reddy's Laboratories Inc.; Genentech, Inc.and 4 more

Medicare Part B payment limit

CMS ASP file
Payment limit per unit$0.029
Per50 mg
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

Capecitabine units and claim line

Enter the dose given to get the J8522 units and the NDC line for the CMS-1500 and the 837P.

Enter the dose given to build the claim line.

Capecitabine 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.

Capecitabine NDCs in the CMS ASP crosswalk
NDC (11-digit)HCPCSLabelerPackageBilling units per package
00004-1101-50J8522Genentech, Inc.1201200
00093-7473-06J8522Teva Pharmaceuticals USA, Inc.60180
00093-7474-89J8522Teva Pharmaceuticals USA, Inc.1201200
16729-0072-12J8522Accord Healthcare Inc60180
16729-0073-29J8522Accord Healthcare Inc1201200
55111-0496-60J8522Dr. Reddy's Laboratories Inc.60180
55111-0497-04J8522Dr. Reddy's Laboratories Inc.1201200
59651-0204-60J8522Aurobindo Pharma Usa, Inc.60180
59651-0205-08J8522Aurobindo Pharma Usa, Inc.1201200
60687-0149-94J8522American Health Packaging20200
67877-0458-60J8522Ascend Laboratories, LLC60180
67877-0459-12J8522Ascend Laboratories, LLC1201200
68001-0487-06J8522BluePoint Laboratories60180
68001-0488-07J8522BluePoint Laboratories1201200
68001-0643-06J8522BluePoint Laboratories60180
68001-0644-07J8522BluePoint Laboratories1201200
69097-0948-08J8522Cipla USA, Inc.1201200
69097-0949-03J8522Cipla USA, Inc.60180
70756-0815-60J8522Lifestar Pharma60180
70756-0816-22J8522Lifestar Pharma1201200
72205-0006-60J8522Novadoz Pharmaceuticals LLC60180
72205-0007-92J8522Novadoz Pharmaceuticals LLC1201200
82009-0112-12J8522Quallent Pharmaceuticals1201200

Capecitabine: common questions

What is the J-code for Capecitabine?
Capecitabine is billed under HCPCS J8522 — Capecitabine, oral, 50 mg. One billing unit is 50 mg. CMS's crosswalk lists 23 Capecitabine NDCs under this code.
How many J8522 billing units are in a package of Capecitabine?
CMS lists 180 to 1,200 billing units per package, depending on the NDC, where one unit is 50 mg. Units to report are based on the dose given, not the package.
Is J8522 a CPT code?
No. J8522 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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