In short

Emblaveo is billed under HCPCS J0458 — Injection, aztreonam/avibactam, 7.5 mg/2.5 mg (10 mg). One billing unit is 10 mg. CMS's crosswalk lists 1 Emblaveo NDC under this code.

J0458 code details

Reference

J0458
Injection, aztreonam/avibactam, 7.5 mg/2.5 mg (10 mg)Billing unit: 10 mg
Labelers
AbbVie Inc.

Medicare Part B payment limit

CMS ASP file
Payment limit per unit$1.756
Per10 mg
Coinsurance19.702%

Effective October 1, 2026 through December 31, 2026. Payment allowance limits subject to the ASP methodology are based on 2Q26 ASP data. CMS note: Inflation-adjusted coinsurance. A payment limit is not a coverage decision; the Medicare contractor decides coverage. CMS ASP pricing files

Emblaveo units and claim line

Enter the dose given to get the J0458 units and the NDC line for the CMS-1500 and the 837P.

Enter the dose given to build the claim line.

Emblaveo 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.

Emblaveo NDCs in the CMS ASP crosswalk
NDC (11-digit)HCPCSLabelerPackageBilling units per package
00074-3878-10J0458AbbVie Inc.10 × 12000

Emblaveo: common questions

What is the J-code for Emblaveo?
Emblaveo is billed under HCPCS J0458 — Injection, aztreonam/avibactam, 7.5 mg/2.5 mg (10 mg). One billing unit is 10 mg. CMS's crosswalk lists 1 Emblaveo NDC under this code.
How many J0458 billing units are in a package of Emblaveo?
CMS lists 2,000 billing units per package, depending on the NDC, where one unit is 10 mg. Units to report are based on the dose given, not the package.
Is J0458 a CPT code?
No. J0458 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.

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