In short

Epinephrine in NaCl is billed under HCPCS J0164 — Injection, epinephrine in sodium chloride (baxter), 0.1 mg. One billing unit is 0.1 mg. CMS's crosswalk lists 1 Epinephrine in NaCl NDC under this code.

J0164 code details

Reference

J0164
Injection, epinephrine in sodium chloride (baxter), 0.1 mgBilling unit: 0.1 mg
Labelers
Baxter Healthcare Corporation

Medicare Part B payment limit

CMS ASP file
Payment limit per unit$0.912
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 in NaCl units and claim line

Enter the dose given to get the J0164 units and the NDC line for the CMS-1500 and the 837P.

Enter the dose given to build the claim line.

Epinephrine in NaCl 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 in NaCl NDCs in the CMS ASP crosswalk
NDC (11-digit)HCPCSLabelerPackageBilling units per package
00338-0024-20J0164Baxter Healthcare Corporation20 × 2503200

Epinephrine in NaCl: common questions

What is the J-code for Epinephrine in NaCl?
Epinephrine in NaCl is billed under HCPCS J0164 — Injection, epinephrine in sodium chloride (baxter), 0.1 mg. One billing unit is 0.1 mg. CMS's crosswalk lists 1 Epinephrine in NaCl NDC under this code.
How many J0164 billing units are in a package of Epinephrine in NaCl?
CMS lists 3,200 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 J0164 a CPT code?
No. J0164 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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