In short

Cocaine HCl is billed under HCPCS J0014 — Cocaine hydrochloride nasal solution (goprelto), 1 mg. One billing unit is 1 mg. CMS's crosswalk lists 1 Cocaine HCl NDC under this code.

J0014 code details

Reference

J0014
Cocaine hydrochloride nasal solution (goprelto), 1 mgBilling unit: 1 mg
Labelers
LXO US Inc.

Medicare Part B payment limit

CMS ASP file
Payment limit per unit$1.825
Per1 mg
Coinsurance20%

Effective October 1, 2026 through December 31, 2026. Payment allowance limits subject to the ASP methodology are based on 2Q26 ASP data. CMS note: Added October 2026. A payment limit is not a coverage decision; the Medicare contractor decides coverage. CMS ASP pricing files

Cocaine HCl units and claim line

Enter the dose given to get the J0014 units and the NDC line for the CMS-1500 and the 837P.

Enter the dose given to build the claim line.

Cocaine HCl 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.

Cocaine HCl NDCs in the CMS ASP crosswalk
NDC (11-digit)HCPCSLabelerPackageBilling units per package
70839-0362-04J0014LXO US Inc.4160

Cocaine HCl: common questions

What is the J-code for Cocaine HCl?
Cocaine HCl is billed under HCPCS J0014 — Cocaine hydrochloride nasal solution (goprelto), 1 mg. One billing unit is 1 mg. CMS's crosswalk lists 1 Cocaine HCl NDC under this code.
How many J0014 billing units are in a package of Cocaine HCl?
CMS lists 160 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 J0014 a CPT code?
No. J0014 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.

Related

Free account

Keep searching with a free account

You’ve used your 3 free searches for this session. Log in or create a free Med-Code account to keep looking up NDCs, J-codes and drugs.

Create a free accountLog in