HCPCS drug code · CMS crosswalk
Digoxin J-Code / HCPCS Code
In short
Digoxin is billed under HCPCS J1160 — Injection, digoxin, up to 0.5 mg. One billing unit is 0.5 mg. CMS's crosswalk lists 6 Digoxin NDCs under this code.
Reference
- J1160
- Injection, digoxin, up to 0.5 mgBilling unit: 0.5 mg
- Labelers
- HF Acquisition Co. LLC, DBA HealthFirst; Henry Schein Inc.; Hikma Pharmaceuticals USA Inc.; Sandoz Inc.
Medicare Part B payment limit
CMS ASP filePayment limit per unit$3.809
Per0.5 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
Digoxin units and claim line
Enter the dose given to get the J1160 units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Digoxin 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 |
|---|---|---|---|---|
| 00404-9850-02 | J1160 | Henry Schein Inc. | 2 | 1 |
| 00641-1410-35 | J1160 | Hikma Pharmaceuticals USA Inc. | 25 × 2 | 25 |
| 00641-6184-25 | J1160 | Hikma Pharmaceuticals USA Inc. | 25 × 2 | 25 |
| 00781-3059-95 | J1160 | Sandoz Inc. | 10 × 2 | 10 |
| 51662-1217-01 | J1160 | HF Acquisition Co. LLC, DBA HealthFirst | 2 | 1 |
| 51662-1217-03 | J1160 | HF Acquisition Co. LLC, DBA HealthFirst | 25 × 2 | 25 |
Digoxin: common questions
- What is the J-code for Digoxin?
- Digoxin is billed under HCPCS J1160 — Injection, digoxin, up to 0.5 mg. One billing unit is 0.5 mg. CMS's crosswalk lists 6 Digoxin NDCs under this code.
- How many J1160 billing units are in a package of Digoxin?
- CMS lists 1 to 25 billing units per package, depending on the NDC, where one unit is 0.5 mg. Units to report are based on the dose given, not the package.
- Is J1160 a CPT code?
- No. J1160 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.