HCPCS drug code · CMS crosswalk
Fentanyl Citrate J-Code / HCPCS Code
In short
Fentanyl Citrate is billed under HCPCS J3010 — Injection, fentanyl citrate, 0.1 mg. One billing unit is 0.1 mg. CMS's crosswalk lists 25 Fentanyl Citrate NDCs under this code.
Reference
- J3010
- Injection, fentanyl citrate, 0.1 mgBilling unit: 0.1 mg
- Labelers
- Civica, Inc.; FreseniUS Kabi USA, LLC; Hikma Pharmaceuticals USA Inc.; Pfizer Inc; Phlow Corporation
Medicare Part B payment limit
CMS ASP filePayment limit per unit$1.362
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
Fentanyl Citrate units and claim line
Enter the dose given to get the J3010 units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Fentanyl Citrate 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 |
|---|---|---|---|---|
| 00409-9093-11 | J3010 | Pfizer Inc | 10 × 2 | 10 |
| 00409-9094-22 | J3010 | Pfizer Inc | 25 × 2 | 25 |
| 00409-9094-25 | J3010 | Pfizer Inc | 25 × 5 | 63 |
| 00409-9094-28 | J3010 | Pfizer Inc | 25 × 10 | 125 |
| 00409-9094-31 | J3010 | Pfizer Inc | 25 × 20 | 250 |
| 00409-9094-61 | J3010 | Pfizer Inc | 25 × 50 | 625 |
| 00641-6027-25 | J3010 | Hikma Pharmaceuticals USA Inc. | 25 × 2 | 25 |
| 00641-6028-10 | J3010 | Hikma Pharmaceuticals USA Inc. | 10 × 5 | 25 |
| 00641-6028-25 | J3010 | Hikma Pharmaceuticals USA Inc. | 25 × 5 | 63 |
| 00641-6029-01 | J3010 | Hikma Pharmaceuticals USA Inc. | 20 | 10 |
| 00641-6030-01 | J3010 | Hikma Pharmaceuticals USA Inc. | 50 | 25 |
| 00641-6247-25 | J3010 | Hikma Pharmaceuticals USA Inc. | 25 × 1 | 13 |
| 00641-6248-10 | J3010 | Hikma Pharmaceuticals USA Inc. | 10 × 1 | 5 |
| 00641-6249-10 | J3010 | Hikma Pharmaceuticals USA Inc. | 10 × 0.5 | 3 |
| 63323-0806-01 | J3010 | FreseniUS Kabi USA, LLC | 25 × 1 | 13 |
| 63323-0806-02 | J3010 | FreseniUS Kabi USA, LLC | 25 × 2 | 25 |
| 63323-0806-05 | J3010 | FreseniUS Kabi USA, LLC | 25 × 5 | 63 |
| 63323-0806-20 | J3010 | FreseniUS Kabi USA, LLC | 25 × 20 | 250 |
| 63323-0806-50 | J3010 | FreseniUS Kabi USA, LLC | 50 | 25 |
| 63323-0808-11 | J3010 | FreseniUS Kabi USA, LLC | 10 × 1 | 5 |
| 63323-0810-20 | J3010 | FreseniUS Kabi USA, LLC | 20 × 2 | 20 |
| 72572-0170-25 | J3010 | Civica, Inc. | 25 × 2 | 25 |
| 72572-0171-10 | J3010 | Civica, Inc. | 10 × 5 | 25 |
| 72572-0172-01 | J3010 | Civica, Inc. | 50 | 25 |
| 81565-0205-02 | J3010 | Phlow Corporation | 25 × 2 | 25 |
Fentanyl Citrate: common questions
- What is the J-code for Fentanyl Citrate?
- Fentanyl Citrate is billed under HCPCS J3010 — Injection, fentanyl citrate, 0.1 mg. One billing unit is 0.1 mg. CMS's crosswalk lists 25 Fentanyl Citrate NDCs under this code.
- How many J3010 billing units are in a package of Fentanyl Citrate?
- CMS lists 3 to 625 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 J3010 a CPT code?
- No. J3010 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.