HCPCS drug code · CMS crosswalk
Haloperidol Lactate J-Code / HCPCS Code
In short
Haloperidol Lactate is billed under HCPCS J1630 — Injection, haloperidol, up to 5 mg. One billing unit is 5 mg. CMS's crosswalk lists 8 Haloperidol Lactate NDCs under this code.
Reference
- J1630
- Injection, haloperidol, up to 5 mgBilling unit: 5 mg
- Labelers
- FreseniUS Kabi USA, LLC; HF Acquisition Co. LLC, DBA HealthFirst; Henry Schein Inc.; Hikma Pharmaceuticals USA Inc.; Mylan Institutional LLC; Sagent Pharmaceuticals
Medicare Part B payment limit
CMS ASP filePayment limit per unit$0.632
Per5 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
Haloperidol Lactate units and claim line
Enter the dose given to get the J1630 units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Haloperidol Lactate 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 |
|---|---|---|---|---|
| 00143-9501-25 | J1630 | Hikma Pharmaceuticals USA Inc. | 25 × 1 | 25 |
| 00143-9502-01 | J1630 | Hikma Pharmaceuticals USA Inc. | 10 | 10 |
| 00404-9871-01 | J1630 | Henry Schein Inc. | 1 | 1 |
| 25021-0806-01 | J1630 | Sagent Pharmaceuticals | 10 × 1 | 10 |
| 51662-1524-01 | J1630 | HF Acquisition Co. LLC, DBA HealthFirst | 1 | 1 |
| 63323-0474-01 | J1630 | FreseniUS Kabi USA, LLC | 25 × 1 | 25 |
| 63323-0474-10 | J1630 | FreseniUS Kabi USA, LLC | 10 | 10 |
| 67457-0426-12 | J1630 | Mylan Institutional LLC | 25 × 1 | 25 |
Haloperidol Lactate: common questions
- What is the J-code for Haloperidol Lactate?
- Haloperidol Lactate is billed under HCPCS J1630 — Injection, haloperidol, up to 5 mg. One billing unit is 5 mg. CMS's crosswalk lists 8 Haloperidol Lactate NDCs under this code.
- How many J1630 billing units are in a package of Haloperidol Lactate?
- CMS lists 1 to 25 billing units per package, depending on the NDC, where one unit is 5 mg. Units to report are based on the dose given, not the package.
- Is J1630 a CPT code?
- No. J1630 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.