HCPCS drug code · CMS crosswalk
Durysta J-Code / HCPCS Code
In short
Durysta is billed under HCPCS J7351 — Injection, bimatoprost, intracameral implant, 1 microgram. One billing unit is 1 mcg. CMS's crosswalk lists 1 Durysta NDC under this code.
Reference
- J7351
- Injection, bimatoprost, intracameral implant, 1 microgramBilling unit: 1 mcg
- Labelers
- Allergan, Inc.
Medicare Part B payment limit
CMS ASP filePayment limit per unit$213.795
Per1 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
Durysta units and claim line
Enter the dose given to get the J7351 units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Durysta 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 |
|---|---|---|---|---|
| 00023-9652-01 | J7351 | Allergan, Inc. | 1 | 10 |
Durysta: common questions
- What is the J-code for Durysta?
- Durysta is billed under HCPCS J7351 — Injection, bimatoprost, intracameral implant, 1 microgram. One billing unit is 1 mcg. CMS's crosswalk lists 1 Durysta NDC under this code.
- How many J7351 billing units are in a package of Durysta?
- CMS lists 10 billing units per package, depending on the NDC, where one unit is 1 mcg. Units to report are based on the dose given, not the package.
- Is J7351 a CPT code?
- No. J7351 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.