In short

Foscarnet Sodium is billed under HCPCS J1455 — Injection, foscarnet sodium, per 1000 mg. One billing unit is 1000 mg. CMS's crosswalk lists 5 Foscarnet Sodium NDCs under this code.

J1455 code details

Reference

J1455
Injection, foscarnet sodium, per 1000 mgBilling unit: 1000 mg
Labelers
Amneal Pharmaceuticals, LLC; Baxter Healthcare Corporation; FreseniUS Kabi USA, LLC; Hikma Pharmaceuticals USA Inc.; Sagent Pharmaceuticals

Medicare Part B payment limit

CMS ASP file
Payment limit per unit$6.734
Per1000 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

Foscarnet Sodium units and claim line

Enter the dose given to get the J1455 units and the NDC line for the CMS-1500 and the 837P.

Enter the dose given to build the claim line.

Foscarnet Sodium 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.

Foscarnet Sodium NDCs in the CMS ASP crosswalk
NDC (11-digit)HCPCSLabelerPackageBilling units per package
00143-9192-01J1455Hikma Pharmaceuticals USA Inc.10 × 25060
25021-0189-84J1455Sagent Pharmaceuticals10 × 25060
43066-0089-10J1455Baxter Healthcare Corporation10 × 25060
63323-0875-50J1455FreseniUS Kabi USA, LLC2506
70121-1744-02J1455Amneal Pharmaceuticals, LLC12 × 25072

Foscarnet Sodium: common questions

What is the J-code for Foscarnet Sodium?
Foscarnet Sodium is billed under HCPCS J1455 — Injection, foscarnet sodium, per 1000 mg. One billing unit is 1000 mg. CMS's crosswalk lists 5 Foscarnet Sodium NDCs under this code.
How many J1455 billing units are in a package of Foscarnet Sodium?
CMS lists 6 to 72 billing units per package, depending on the NDC, where one unit is 1000 mg. Units to report are based on the dose given, not the package.
Is J1455 a CPT code?
No. J1455 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.

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