HCPCS drug code · CMS crosswalk
Fluphenazine HCl J-Code / HCPCS Code
In short
Fluphenazine HCl is billed under HCPCS J2679 — Injection, fluphenazine hcl, 1.25 mg. One billing unit is 1.25 mg. CMS's crosswalk lists 1 Fluphenazine HCl NDC under this code.
Reference
- J2679
- Injection, fluphenazine hcl, 1.25 mgBilling unit: 1.25 mg
- Labelers
- FreseniUS Kabi USA, LLC
Medicare Part B payment limit
CMS ASP filePayment limit per unit$7.269
Per1.25 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
Fluphenazine HCl units and claim line
Enter the dose given to get the J2679 units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Fluphenazine 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.
| NDC (11-digit) | HCPCS | Labeler | Package | Billing units per package |
|---|---|---|---|---|
| 63323-0281-10 | J2679 | FreseniUS Kabi USA, LLC | 10 | 20 |
Fluphenazine HCl: common questions
- What is the J-code for Fluphenazine HCl?
- Fluphenazine HCl is billed under HCPCS J2679 — Injection, fluphenazine hcl, 1.25 mg. One billing unit is 1.25 mg. CMS's crosswalk lists 1 Fluphenazine HCl NDC under this code.
- How many J2679 billing units are in a package of Fluphenazine HCl?
- CMS lists 20 billing units per package, depending on the NDC, where one unit is 1.25 mg. Units to report are based on the dose given, not the package.
- Is J2679 a CPT code?
- No. J2679 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.