HCPCS drug code · CMS crosswalk
Fluphenazine Decanoate J-Code / HCPCS Code
In short
Fluphenazine Decanoate is billed under HCPCS J2680 — Injection, fluphenazine decanoate, up to 25 mg. One billing unit is 25 mg. CMS's crosswalk lists 8 Fluphenazine Decanoate NDCs under this code.
Reference
- J2680
- Injection, fluphenazine decanoate, up to 25 mgBilling unit: 25 mg
- Labelers
- Endo USA, Inc.; Eugia US LLC; FreseniUS Kabi USA, LLC; Hikma Pharmaceuticals USA Inc.; Mylan Institutional LLC; Novadoz Pharmaceuticals LLC; Sagent Pharmaceuticals
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
Fluphenazine Decanoate units and claim line
Enter the dose given to get the J2680 units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Fluphenazine Decanoate 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 |
|---|---|---|---|---|
| 00143-9529-01 | J2680 | Hikma Pharmaceuticals USA Inc. | 5 | 5 |
| 25021-0838-05 | J2680 | Sagent Pharmaceuticals | 5 | 5 |
| 42023-0129-01 | J2680 | Endo USA, Inc. | 5 | 5 |
| 42023-0129-89 | J2680 | Endo USA, Inc. | 5 | 5 |
| 55150-0267-05 | J2680 | Eugia US LLC | 5 | 5 |
| 63323-0272-05 | J2680 | FreseniUS Kabi USA, LLC | 5 | 5 |
| 67457-0359-59 | J2680 | Mylan Institutional LLC | 5 | 5 |
| 72205-0100-01 | J2680 | Novadoz Pharmaceuticals LLC | 5 | 5 |
Fluphenazine Decanoate: common questions
- What is the J-code for Fluphenazine Decanoate?
- Fluphenazine Decanoate is billed under HCPCS J2680 — Injection, fluphenazine decanoate, up to 25 mg. One billing unit is 25 mg. CMS's crosswalk lists 8 Fluphenazine Decanoate NDCs under this code.
- How many J2680 billing units are in a package of Fluphenazine Decanoate?
- CMS lists 5 billing units per package, depending on the NDC, where one unit is 25 mg. Units to report are based on the dose given, not the package.
- Is J2680 a CPT code?
- No. J2680 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.