HCPCS drug code · CMS crosswalk
Dopamine J-Code / HCPCS Code
In short
Dopamine is billed under HCPCS J1265 — Injection, dopamine hcl, 40 mg. One billing unit is 40 mg. CMS's crosswalk lists 16 Dopamine NDCs under this code.
Reference
- J1265
- Injection, dopamine hcl, 40 mgBilling unit: 40 mg
- Labelers
- HF Acquisition Co. LLC, DBA HealthFirst; Henry Schein Inc.; Hikma Pharmaceuticals USA Inc.; Pfizer Inc
Medicare Part B payment limit
CMS ASP filePayment limit per unit$0.823
Per40 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
Dopamine units and claim line
Enter the dose given to get the J1265 units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Dopamine 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 |
|---|---|---|---|---|
| 00143-9252-25 | J1265 | Hikma Pharmaceuticals USA Inc. | 25 × 5 | 125 |
| 00143-9254-25 | J1265 | Hikma Pharmaceuticals USA Inc. | 25 × 10 | 250 |
| 00404-9981-10 | J1265 | Henry Schein Inc. | 10 | 10 |
| 00404-9982-05 | J1265 | Henry Schein Inc. | 5 | 5 |
| 00409-5820-01 | J1265 | Pfizer Inc | 25 × 5 | 125 |
| 00409-7809-22 | J1265 | Pfizer Inc | 12 × 250 | 120 |
| 00409-7809-24 | J1265 | Pfizer Inc | 12 × 500 | 240 |
| 00409-7810-22 | J1265 | Pfizer Inc | 12 × 250 | 240 |
| 00409-9104-20 | J1265 | Pfizer Inc | 25 × 10 | 250 |
| 51662-1220-01 | J1265 | HF Acquisition Co. LLC, DBA HealthFirst | 10 | 10 |
| 51662-1220-03 | J1265 | HF Acquisition Co. LLC, DBA HealthFirst | 25 × 10 | 250 |
| 51662-1291-01 | J1265 | HF Acquisition Co. LLC, DBA HealthFirst | 5 | 5 |
| 51662-1291-03 | J1265 | HF Acquisition Co. LLC, DBA HealthFirst | 25 × 5 | 125 |
| 51662-1489-01 | J1265 | HF Acquisition Co. LLC, DBA HealthFirst | 5 | 5 |
| 51662-1489-03 | J1265 | HF Acquisition Co. LLC, DBA HealthFirst | 25 × 5 | 125 |
| 51662-1490-01 | J1265 | HF Acquisition Co. LLC, DBA HealthFirst | 10 | 10 |
Dopamine: common questions
- What is the J-code for Dopamine?
- Dopamine is billed under HCPCS J1265 — Injection, dopamine hcl, 40 mg. One billing unit is 40 mg. CMS's crosswalk lists 16 Dopamine NDCs under this code.
- How many J1265 billing units are in a package of Dopamine?
- CMS lists 5 to 250 billing units per package, depending on the NDC, where one unit is 40 mg. Units to report are based on the dose given, not the package.
- Is J1265 a CPT code?
- No. J1265 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.