In short

Cyanocobalamin is billed under HCPCS J3420 — Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg. One billing unit is 1000 mcg. CMS's crosswalk lists 39 Cyanocobalamin NDCs under this code.

J3420 code details

Reference

J3420
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcgBilling unit: 1000 mcg
Labelers
A-S Medication Solutions; American Regent, Inc.; BluePoint Laboratories; FreseniUS Kabi USA, LLC; HF Acquisition Co. LLC, DBA HealthFirst; Henry Schein Inc.; Hikma Pharmaceuticals USA Inc.; Lifestar Pharmaand 6 more

Medicare Part B payment limit

CMS ASP file
Payment limit per unit$0.648
Per1000 mcg
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

Cyanocobalamin units and claim line

Enter the dose given to get the J3420 units and the NDC line for the CMS-1500 and the 837P.

Enter the dose given to build the claim line.

Cyanocobalamin 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.

Cyanocobalamin NDCs in the CMS ASP crosswalk
NDC (11-digit)HCPCSLabelerPackageBilling units per package
00143-9619-01J3420Hikma Pharmaceuticals USA Inc.3030
00143-9619-10J3420Hikma Pharmaceuticals USA Inc.10 × 30300
00143-9620-10J3420Hikma Pharmaceuticals USA Inc.10 × 10100
00143-9621-25J3420Hikma Pharmaceuticals USA Inc.25 × 125
00404-9783-30J3420Henry Schein Inc.3030
00404-9786-10J3420Henry Schein Inc.1010
00404-9840-10J3420Henry Schein Inc.1010
00404-9995-30J3420Henry Schein Inc.3030
00517-0031-25J3420American Regent, Inc.25 × 125
00517-0032-25J3420American Regent, Inc.25 × 10250
00517-0130-01J3420American Regent, Inc.3030
25021-0502-01J3420Sagent Pharmaceuticals25 × 125
50090-2709-00J3420A-S Medication Solutions25 × 125
50090-6229-00J3420A-S Medication Solutions25 × 125
51662-1394-01J3420HF Acquisition Co. LLC, DBA HealthFirst3030
51662-1647-03J3420HF Acquisition Co. LLC, DBA HealthFirst25 × 125
63323-0044-01J3420FreseniUS Kabi USA, LLC25 × 125
63323-0044-44J3420FreseniUS Kabi USA, LLC25 × 125
68001-0542-60J3420BluePoint Laboratories25 × 125
68001-0640-60J3420BluePoint Laboratories25 × 125
69680-0112-10J3420Vitruvias Therapeutics, Inc.10 × 110
69680-0112-25J3420Vitruvias Therapeutics, Inc.25 × 125
69680-0113-99J3420Vitruvias Therapeutics, Inc.10 × 10100
69680-0121-05J3420Vitruvias Therapeutics, Inc.5 × 30150
70069-0005-10J3420Somerset Pharma, LLC25 × 125
70069-0171-10J3420Somerset Pharma, LLC10 × 30300
70069-0172-10J3420Somerset Pharma, LLC10 × 10100
70710-1663-07J3420Zydus Pharmaceuticals (USA) Inc.25 × 125
70710-1664-06J3420Zydus Pharmaceuticals (USA) Inc.10 × 10100
70710-1664-07J3420Zydus Pharmaceuticals (USA) Inc.25 × 10250
70710-1665-01J3420Zydus Pharmaceuticals (USA) Inc.3030
70710-1665-05J3420Zydus Pharmaceuticals (USA) Inc.5 × 30150
70756-0635-25J3420Lifestar Pharma25 × 125
71288-0300-02J3420Meitheal Pharmaceuticals Inc.25 × 125
71288-0301-11J3420Meitheal Pharmaceuticals Inc.10 × 10100
71288-0302-30J3420Meitheal Pharmaceuticals Inc.3030
71288-0303-02J3420Meitheal Pharmaceuticals Inc.25 × 125
71288-0303-92J3420Meitheal Pharmaceuticals Inc.25 × 125
72603-0650-25J3420Northstar RxLLC25 × 125

Cyanocobalamin: common questions

What is the J-code for Cyanocobalamin?
Cyanocobalamin is billed under HCPCS J3420 — Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg. One billing unit is 1000 mcg. CMS's crosswalk lists 39 Cyanocobalamin NDCs under this code.
How many J3420 billing units are in a package of Cyanocobalamin?
CMS lists 10 to 300 billing units per package, depending on the NDC, where one unit is 1000 mcg. Units to report are based on the dose given, not the package.
Is J3420 a CPT code?
No. J3420 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