HCPCS drug code · CMS crosswalk
Erzofri J-Code / HCPCS Code
In short
Erzofri is billed under HCPCS J2428 — Injection, paliperidone palmitate extended release (erzofri), 1 mg. One billing unit is 1 mg. CMS's crosswalk lists 6 Erzofri NDCs under this code.
Reference
- J2428
- Injection, paliperidone palmitate extended release (erzofri), 1 mgBilling unit: 1 mg
- Labelers
- Luye Pharma USA Ltd
Medicare Part B payment limit
CMS ASP fileEffective 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
Erzofri units and claim line
Enter the dose given to get the J2428 units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Erzofri 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 |
|---|---|---|---|---|
| 72526-0105-11 | J2428 | Luye Pharma USA Ltd | 0.25 | 39 |
| 72526-0106-11 | J2428 | Luye Pharma USA Ltd | 0.5 | 78 |
| 72526-0107-11 | J2428 | Luye Pharma USA Ltd | 0.75 | 117 |
| 72526-0108-11 | J2428 | Luye Pharma USA Ltd | 1 | 156 |
| 72526-0109-11 | J2428 | Luye Pharma USA Ltd | 1.5 | 234 |
| 72526-0110-11 | J2428 | Luye Pharma USA Ltd | 2.25 | 351 |
Erzofri: common questions
- What is the J-code for Erzofri?
- Erzofri is billed under HCPCS J2428 — Injection, paliperidone palmitate extended release (erzofri), 1 mg. One billing unit is 1 mg. CMS's crosswalk lists 6 Erzofri NDCs under this code.
- How many J2428 billing units are in a package of Erzofri?
- CMS lists 39 to 351 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 J2428 a CPT code?
- No. J2428 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.