In short

Caspofungin Acetate is billed under HCPCS J0637 — Injection, caspofungin acetate, 5 mg. One billing unit is 5 mg. CMS's crosswalk lists 10 Caspofungin Acetate NDCs under this code.

J0637 code details

Reference

J0637
Injection, caspofungin acetate, 5 mgBilling unit: 5 mg
Labelers
Areva Pharmaceuticals; Athenex Pharmaceutical Division, LLC; FreseniUS Kabi USA, LLC; Sagent Pharmaceuticals; Sandoz Inc.

Medicare Part B payment limit

CMS ASP file
Payment limit per unit$2.463
Per5 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

Caspofungin Acetate units and claim line

Enter the dose given to get the J0637 units and the NDC line for the CMS-1500 and the 837P.

Enter the dose given to build the claim line.

Caspofungin Acetate 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.

Caspofungin Acetate NDCs in the CMS ASP crosswalk
NDC (11-digit)HCPCSLabelerPackageBilling units per package
00781-3421-94J0637Sandoz Inc.110
00781-3423-94J0637Sandoz Inc.114
25021-0194-10J0637Sagent Pharmaceuticals110
25021-0195-10J0637Sagent Pharmaceuticals114
59923-0613-70J0637Areva Pharmaceuticals114
59923-0614-50J0637Areva Pharmaceuticals110
63323-0356-10J0637FreseniUS Kabi USA, LLC10 × 1100
63323-0358-10J0637FreseniUS Kabi USA, LLC10 × 1140
70860-0106-10J0637Athenex Pharmaceutical Division, LLC110
70860-0107-10J0637Athenex Pharmaceutical Division, LLC114

Caspofungin Acetate: common questions

What is the J-code for Caspofungin Acetate?
Caspofungin Acetate is billed under HCPCS J0637 — Injection, caspofungin acetate, 5 mg. One billing unit is 5 mg. CMS's crosswalk lists 10 Caspofungin Acetate NDCs under this code.
How many J0637 billing units are in a package of Caspofungin Acetate?
CMS lists 10 to 140 billing units per package, depending on the NDC, where one unit is 5 mg. Units to report are based on the dose given, not the package.
Is J0637 a CPT code?
No. J0637 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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