HCPCS drug code · CMS crosswalk
Droperidol J-Code / HCPCS Code
In short
Droperidol is billed under HCPCS J1790 — Injection, droperidol, up to 5 mg. One billing unit is up to 5 mg. CMS's crosswalk lists 2 Droperidol NDCs under this code.
Reference
- J1790
- Injection, droperidol, up to 5 mgBilling unit: up to 5 mg
- Labelers
- Hikma Pharmaceuticals USA Inc.
Medicare Part B payment limit
CMS ASP filePayment limit per unit$5.348
Perup to 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
Droperidol units and claim line
Enter the dose given to get the J1790 units and the NDC line for the CMS-1500 and the 837P.
Enter the units to build the claim line.
Droperidol 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 |
|---|---|---|---|---|
| 00143-9514-25 | J1790 | Hikma Pharmaceuticals USA Inc. | 25 × 2 | 25 |
| 00143-9515-25 | J1790 | Hikma Pharmaceuticals USA Inc. | 25 × 1 | 25 |
Droperidol: common questions
- What is the J-code for Droperidol?
- Droperidol is billed under HCPCS J1790 — Injection, droperidol, up to 5 mg. One billing unit is up to 5 mg. CMS's crosswalk lists 2 Droperidol NDCs under this code.
- How many J1790 billing units are in a package of Droperidol?
- CMS lists 25 billing units per package, depending on the NDC, where one unit is up to 5 mg. Units to report are based on the dose given, not the package.
- Is J1790 a CPT code?
- No. J1790 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.