HCPCS drug code · CMS crosswalk
Cimzia J-Code / HCPCS Code
In short
Cimzia is billed under HCPCS J0717 — Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered). One billing unit is 1 mg. CMS's crosswalk lists 4 Cimzia NDCs under this code.
Reference
- J0717
- Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)Billing unit: 1 mg
- Labelers
- UCB, INC.; UCB, Inc.
Medicare Part B payment limit
CMS ASP fileEffective October 1, 2026 through December 31, 2026. Payment allowance limits subject to the ASP methodology are based on 2Q26 ASP data. CMS note: "lesser of" methodology applied. A payment limit is not a coverage decision; the Medicare contractor decides coverage. CMS ASP pricing files
Cimzia units and claim line
Enter the dose given to get the J0717 units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Cimzia 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 |
|---|---|---|---|---|
| 50474-0700-62 | J0717 | UCB, Inc. | 2 × 1 | 400 |
| 50474-0710-79 | J0717 | UCB, Inc. | 2 × 1 | 400 |
| 50474-0710-81 | J0717 | UCB, Inc. | 6 × 1 | 1200 |
| 50474-0750-10 | J0717 | UCB, INC. | 1 | 200 |
Cimzia: common questions
- What is the J-code for Cimzia?
- Cimzia is billed under HCPCS J0717 — Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered). One billing unit is 1 mg. CMS's crosswalk lists 4 Cimzia NDCs under this code.
- How many J0717 billing units are in a package of Cimzia?
- CMS lists 200 to 1,200 billing units per package, depending on the NDC, where one unit is 1 mg. Units to report are based on the dose given, not the package.
- Is J0717 a CPT code?
- No. J0717 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.