HCPCS drug code · CMS crosswalk
Glucagon J-Code / HCPCS Code
In short
CMS assigns Glucagon NDCs to 2 HCPCS codes: J1610 (per 1 mg), J1611 (per 1 mg). Which one applies depends on the product; the table lists each NDC with its code.
Reference
- J1610
- Injection, glucagon hydrochloride, per 1 mgBilling unit: 1 mg
- J1611
- Injection, glucagon hydrochloride (fresenius kabi), not therapeutically equivalent to j1610, per 1 mgBilling unit: 1 mg
- Labelers
- Amphastar Pharmaceuticals, Inc.; FreseniUS Kabi USA, LLC; Mylan Pharmaceuticals Inc.; Novo Nordisk, Inc.
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
Glucagon units and claim line
Enter the dose given to get the J1610 units and the NDC line for the CMS-1500 and the 837P. This builds the J1610 line; use the code page for J1611.
Enter the dose given to build the claim line.
Glucagon 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 |
|---|---|---|---|---|
| 00169-7065-15 | J1610 | Novo Nordisk, Inc. | 1 | 1 |
| 00378-8067-90 | J1610 | Mylan Pharmaceuticals Inc. | 1 | 1 |
| 00548-5850-00 | J1610 | Amphastar Pharmaceuticals, Inc. | 1 | 1 |
| 63323-0593-03 | J1611 | FreseniUS Kabi USA, LLC | 1 | 1 |
| 63323-0596-13 | J1611 | FreseniUS Kabi USA, LLC | 10 × 1 | 10 |
| 63323-0596-16 | J1611 | FreseniUS Kabi USA, LLC | 10 × 1 | 10 |
Glucagon: common questions
- What is the J-code for Glucagon?
- CMS assigns Glucagon NDCs to 2 HCPCS codes: J1610 (per 1 mg), J1611 (per 1 mg). Which one applies depends on the product; the table lists each NDC with its code.
- How many J1610 billing units are in a package of Glucagon?
- CMS lists 1 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 J1611 billing units are in a package of Glucagon?
- CMS lists 1 to 10 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 J1610 a CPT code?
- No. J1610 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.