HCPCS drug code · CMS crosswalk
Fosaprepitant J-Code / HCPCS Code
In short
CMS assigns Fosaprepitant NDCs to 2 HCPCS codes: J1453 (per 1 mg), J1456 (per 1 mg). Which one applies depends on the product; the table lists each NDC with its code.
Reference
- J1453
- Injection, fosaprepitant, 1 mgBilling unit: 1 mg
- J1456
- Injection, fosaprepitant (teva), not therapeutically equivalent to j1453, 1 mgBilling unit: 1 mg
- Labelers
- Actavis Pharma, Inc.; Apotex Corp; Athenex Pharmaceutical Division, LLC; Avenacy Inc.; BE Pharmaceuticals Inc.; BluePoint Laboratories; Bluepoint Laboratories; Dr. Reddy's Laboratories Inc.and 7 more
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
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
Fosaprepitant units and claim line
Enter the dose given to get the J1453 units and the NDC line for the CMS-1500 and the 837P. This builds the J1453 line; use the code page for J1456.
Enter the dose given to build the claim line.
Fosaprepitant 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 |
|---|---|---|---|---|
| 00143-9384-01 | J1453 | Hikma Pharmaceuticals USA Inc. | 1 | 150 |
| 00143-9428-01 | J1453 | Hikma Pharmaceuticals USA Inc. | 1 | 150 |
| 16714-0248-01 | J1453 | Northstar RxLLC | 1 | 150 |
| 43598-0859-11 | J1453 | Dr. Reddy's Laboratories Inc. | 1 | 150 |
| 43598-0948-11 | J1453 | Dr. Reddy's Laboratories Inc. | 1 | 150 |
| 55150-0299-01 | J1453 | Eugia US LLC | 1 | 150 |
| 60505-6105-01 | J1453 | Apotex Corp | 1 | 150 |
| 63323-0972-10 | J1453 | FreseniUS Kabi USA, LLC | 1 | 150 |
| 67457-0889-10 | J1453 | Mylan Institutional LLC | 1 | 150 |
| 68001-0523-36 | J1453 | BluePoint Laboratories | 1 | 150 |
| 68001-0675-25 | J1453 | Bluepoint Laboratories | 1 | 150 |
| 70860-0780-10 | J1453 | Athenex Pharmaceutical Division, LLC | 1 | 150 |
| 70860-0782-10 | J1453 | Athenex Pharmaceutical Division, LLC | 1 | 150 |
| 70860-0783-10 | J1453 | Athenex Pharmaceutical Division, LLC | 1 | 150 |
| 71839-0104-01 | J1453 | BE Pharmaceuticals Inc. | 1 | 150 |
| 72205-0026-01 | J1453 | Novadoz Pharmaceuticals LLC | 1 | 150 |
| 72205-0054-01 | J1453 | Novadoz Pharmaceuticals LLC | 1 | 150 |
| 72205-0083-01 | J1453 | Novadoz Pharmaceuticals LLC | 1 | 150 |
| 72603-0450-01 | J1453 | Northstar RxLLC | 1 | 150 |
| 81952-0911-01 | J1453 | Hepalink USA, Inc. | 1 | 150 |
| 83634-0776-10 | J1453 | Avenacy Inc. | 1 | 150 |
| 00591-4385-79 | J1456 | Actavis Pharma, Inc. | 1 | 150 |
Fosaprepitant: common questions
- What is the J-code for Fosaprepitant?
- CMS assigns Fosaprepitant NDCs to 2 HCPCS codes: J1453 (per 1 mg), J1456 (per 1 mg). Which one applies depends on the product; the table lists each NDC with its code.
- How many J1453 billing units are in a package of Fosaprepitant?
- CMS lists 150 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.
- How many J1456 billing units are in a package of Fosaprepitant?
- CMS lists 150 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 J1453 a CPT code?
- No. J1453 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.