HCPCS drug code · CMS crosswalk
Edaravone J-Code / HCPCS Code
In short
Edaravone is billed under HCPCS J1301 — Injection, edaravone, 1 mg. One billing unit is 1 mg. CMS's crosswalk lists 3 Edaravone NDCs under this code.
Reference
- J1301
- Injection, edaravone, 1 mgBilling unit: 1 mg
- Labelers
- Piramal Critical Care Inc; Sandoz Inc.; XGen Pharmaceuticals DJB, Inc.
Medicare Part B payment limit
CMS ASP filePayment limit per unit$6.375
Per1 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
Edaravone units and claim line
Enter the dose given to get the J1301 units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Edaravone 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 |
|---|---|---|---|---|
| 00781-3527-20 | J1301 | Sandoz Inc. | 2 × 100 | 60 |
| 39822-4500-02 | J1301 | XGen Pharmaceuticals DJB, Inc. | 2 × 100 | 30 |
| 66794-0259-64 | J1301 | Piramal Critical Care Inc | 2 × 100 | 60 |
Edaravone: common questions
- What is the J-code for Edaravone?
- Edaravone is billed under HCPCS J1301 — Injection, edaravone, 1 mg. One billing unit is 1 mg. CMS's crosswalk lists 3 Edaravone NDCs under this code.
- How many J1301 billing units are in a package of Edaravone?
- CMS lists 30 to 60 billing units per package, depending on the NDC, where one unit is 1 mg. Units to report are based on the dose given, not the package.
- Is J1301 a CPT code?
- No. J1301 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.