HCPCS drug code · CMS crosswalk
Hydromorphone HCl J-Code / HCPCS Code
In short
Hydromorphone HCl is billed under HCPCS J1171 — Injection, hydromorphone, 0.1 mg. One billing unit is 0.1 mg. CMS's crosswalk lists 26 Hydromorphone HCl NDCs under this code.
Reference
- J1171
- Injection, hydromorphone, 0.1 mgBilling unit: 0.1 mg
- Labelers
- FreseniUS Kabi USA, LLC; Hikma Pharmaceuticals USA Inc.; Pfizer Inc; Teva Parenteral Medicines, Inc.
Medicare Part B payment limit
CMS ASP filePayment limit per unit$0.224
Per0.1 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
Hydromorphone HCl units and claim line
Enter the dose given to get the J1171 units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Hydromorphone 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 |
|---|---|---|---|---|
| 00409-1283-31 | J1171 | Pfizer Inc | 10 × 1 | 100 |
| 00409-1283-37 | J1171 | Pfizer Inc | 10 × 1 | 100 |
| 00409-1304-31 | J1171 | Pfizer Inc | 10 × 1 | 400 |
| 00409-1312-30 | J1171 | Pfizer Inc | 10 × 1 | 200 |
| 00409-1312-36 | J1171 | Pfizer Inc | 10 × 1 | 200 |
| 00409-1805-01 | J1171 | Pfizer Inc | 10 × 0.5 | 25 |
| 00409-2634-01 | J1171 | Pfizer Inc | 10 × 1 | 1000 |
| 00409-2634-05 | J1171 | Pfizer Inc | 10 × 5 | 5000 |
| 00409-2634-50 | J1171 | Pfizer Inc | 50 | 5000 |
| 00409-3365-10 | J1171 | Pfizer Inc | 10 × 1 | 200 |
| 00409-4264-01 | J1171 | Pfizer Inc | 10 × 0.5 | 50 |
| 00641-2341-41 | J1171 | Hikma Pharmaceuticals USA Inc. | 20 | 400 |
| 00641-6151-25 | J1171 | Hikma Pharmaceuticals USA Inc. | 25 × 1 | 500 |
| 00641-6169-10 | J1171 | Hikma Pharmaceuticals USA Inc. | 10 × 1 | 100 |
| 00641-6206-10 | J1171 | Hikma Pharmaceuticals USA Inc. | 10 × 0.5 | 50 |
| 00641-6259-10 | J1171 | Hikma Pharmaceuticals USA Inc. | 10 × 1 | 20 |
| 00703-0018-01 | J1171 | Teva Parenteral Medicines, Inc. | 50 | 5000 |
| 00703-0110-03 | J1171 | Teva Parenteral Medicines, Inc. | 10 × 1 | 1000 |
| 00703-0113-03 | J1171 | Teva Parenteral Medicines, Inc. | 10 × 5 | 5000 |
| 63323-0851-10 | J1171 | FreseniUS Kabi USA, LLC | 10 × 1 | 1000 |
| 63323-0851-15 | J1171 | FreseniUS Kabi USA, LLC | 10 × 5 | 5000 |
| 63323-0851-50 | J1171 | FreseniUS Kabi USA, LLC | 50 | 5000 |
| 63323-0852-25 | J1171 | FreseniUS Kabi USA, LLC | 25 × 1 | 250 |
| 63323-0853-25 | J1171 | FreseniUS Kabi USA, LLC | 25 × 1 | 500 |
| 63323-0854-10 | J1171 | FreseniUS Kabi USA, LLC | 25 × 1 | 1000 |
| 76045-0121-11 | J1171 | FreseniUS Kabi USA, LLC | 10 × 1 | 20 |
Hydromorphone HCl: common questions
- What is the J-code for Hydromorphone HCl?
- Hydromorphone HCl is billed under HCPCS J1171 — Injection, hydromorphone, 0.1 mg. One billing unit is 0.1 mg. CMS's crosswalk lists 26 Hydromorphone HCl NDCs under this code.
- How many J1171 billing units are in a package of Hydromorphone HCl?
- CMS lists 20 to 5,000 billing units per package, depending on the NDC, where one unit is 0.1 mg. Units to report are based on the dose given, not the package.
- Is J1171 a CPT code?
- No. J1171 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.