In short

CMS assigns Epinephrine HCl NDCs to 6 HCPCS codes: J0162 (per 0.1 mg), J0165 (per 0.1 mg), J0166 (per 0.1 mg), J0167 (per 0.1 mg), J0168 (per 0.1 mg), J0169 (per 0.1 mg). Which one applies depends on the product; the table lists each NDC with its code.

J0162 code detailsJ0165 code detailsJ0166 code detailsJ0167 code detailsJ0168 code detailsJ0169 code details

Reference

J0162
Injection, epinephrine (fresenius), not therapeutically equivalent to j0165, 0.1 mgBilling unit: 0.1 mg
J0165
Injection, epinephrine, not otherwise specified, 0.1 mgBilling unit: 0.1 mg
J0166
Injection, epinephrine (bpi), not therapeutically equivalent to j0165, 0.1 mgBilling unit: 0.1 mg
J0167
Injection, epinephrine (hospira), not therapeutically equivalent to j0165, 0.1 mgBilling unit: 0.1 mg
J0168
Injection, epinephrine (international medication systems), not therapeutically equivalent to j0165, 0.1 mgBilling unit: 0.1 mg
J0169
Injection, epinephrine (adrenalin), not therapeutically equivalent to j0165, 0.1 mgBilling unit: 0.1 mg
Labelers
A-S Medication Solutions; American Regent, Inc.; Endo USA, Inc.; FreseniUS Kabi USA, LLC; Glenmark Pharmaceuticals Inc., USA; HF Acquisition Co. LLC, DBA HealthFirst; Henry Schein Inc.; Pfizer Inc

Medicare Part B payment limit

CMS ASP file
Payment limit per unit$0.321
Per0.1 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

Medicare Part B payment limit

CMS ASP file
Payment limit per unit$0.206
Per0.1 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

Medicare Part B payment limit

CMS ASP file
Payment limit per unit$0.83
Per0.1 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

Medicare Part B payment limit

CMS ASP file
Payment limit per unit$1.422
Per0.1 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

Medicare Part B payment limit

CMS ASP file
Payment limit per unit$2.697
Per0.1 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

Medicare Part B payment limit

CMS ASP file
Payment limit per unit$0.869
Per0.1 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

Epinephrine HCl units and claim line

Enter the dose given to get the J0162 units and the NDC line for the CMS-1500 and the 837P. This builds the J0162 line; use the code page for J0165, J0166, J0167, J0168, J0169.

Enter the dose given to build the claim line.

Epinephrine HCl 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.

Epinephrine HCl NDCs in the CMS ASP crosswalk
NDC (11-digit)HCPCSLabelerPackageBilling units per package
63323-0698-30J0162FreseniUS Kabi USA, LLC30300
00517-3030-01J0165American Regent, Inc.30300
42023-0168-01J0165Endo USA, Inc.30300
42023-0168-89J0165Endo USA, Inc.30300
42023-0168-99J0165Endo USA, Inc.30300
50090-2058-00J0165A-S Medication Solutions10 × 10100
50090-5569-00J0165A-S Medication Solutions10 × 10100
00404-9857-01J0166Henry Schein Inc.110
50090-3039-01J0166A-S Medication Solutions110
50090-3039-02J0166A-S Medication Solutions10 × 1100
63323-0696-25J0166FreseniUS Kabi USA, LLC25 × 1250
68462-0760-10J0166Glenmark Pharmaceuticals Inc., USA10100
68462-0933-10J0166Glenmark Pharmaceuticals Inc., USA10 × 1100
00409-4933-10J0167Pfizer Inc10 × 10100
51662-1531-01J0167HF Acquisition Co. LLC, DBA HealthFirst1010
50090-7037-00J0168A-S Medication Solutions11
51662-1629-01J0168HF Acquisition Co. LLC, DBA HealthFirst1010
51662-1629-03J0168HF Acquisition Co. LLC, DBA HealthFirst10 × 10100
51662-1290-01J0169HF Acquisition Co. LLC, DBA HealthFirst110
51662-1290-03J0169HF Acquisition Co. LLC, DBA HealthFirst25 × 1250

Epinephrine HCl: common questions

What is the J-code for Epinephrine HCl?
CMS assigns Epinephrine HCl NDCs to 6 HCPCS codes: J0162 (per 0.1 mg), J0165 (per 0.1 mg), J0166 (per 0.1 mg), J0167 (per 0.1 mg), J0168 (per 0.1 mg), J0169 (per 0.1 mg). Which one applies depends on the product; the table lists each NDC with its code.
How many J0162 billing units are in a package of Epinephrine HCl?
CMS lists 300 billing units per package, depending on the NDC, where one unit is 0.1 mg. Units to report are based on the dose given, not the package.
How many J0165 billing units are in a package of Epinephrine HCl?
CMS lists 100 to 300 billing units per package, depending on the NDC, where one unit is 0.1 mg. Units to report are based on the dose given, not the package.
How many J0166 billing units are in a package of Epinephrine HCl?
CMS lists 10 to 250 billing units per package, depending on the NDC, where one unit is 0.1 mg. Units to report are based on the dose given, not the package.
How many J0167 billing units are in a package of Epinephrine HCl?
CMS lists 10 to 100 billing units per package, depending on the NDC, where one unit is 0.1 mg. Units to report are based on the dose given, not the package.
How many J0168 billing units are in a package of Epinephrine HCl?
CMS lists 1 to 100 billing units per package, depending on the NDC, where one unit is 0.1 mg. Units to report are based on the dose given, not the package.
How many J0169 billing units are in a package of Epinephrine HCl?
CMS lists 10 to 250 billing units per package, depending on the NDC, where one unit is 0.1 mg. Units to report are based on the dose given, not the package.
Is J0162 a CPT code?
No. J0162 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.

Related

Free account

Keep searching with a free account

You’ve used your 3 free searches for this session. Log in or create a free Med-Code account to keep looking up NDCs, J-codes and drugs.

Create a free accountLog in