HCPCS drug code · CMS crosswalk
Hydroxyzine HCl J-Code / HCPCS Code
In short
Hydroxyzine HCl is billed under HCPCS J3410 — Injection, hydroxyzine hcl, up to 25 mg. One billing unit is 25 mg. CMS's crosswalk lists 6 Hydroxyzine HCl NDCs under this code.
Reference
- J3410
- Injection, hydroxyzine hcl, up to 25 mgBilling unit: 25 mg
- Labelers
- American Regent, Inc.; HF Acquisition Co. LLC, DBA HealthFirst; Henry Schein Inc.
Medicare Part B payment limit
CMS ASP filePayment limit per unit$14.113
Per25 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
Hydroxyzine HCl units and claim line
Enter the dose given to get the J3410 units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Hydroxyzine 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 |
|---|---|---|---|---|
| 00404-9877-01 | J3410 | Henry Schein Inc. | 1 | 2 |
| 00404-9878-02 | J3410 | Henry Schein Inc. | 2 | 4 |
| 00517-4201-25 | J3410 | American Regent, Inc. | 25 × 1 | 25 |
| 00517-5601-25 | J3410 | American Regent, Inc. | 25 × 1 | 50 |
| 00517-5602-25 | J3410 | American Regent, Inc. | 25 × 2 | 100 |
| 51662-1649-03 | J3410 | HF Acquisition Co. LLC, DBA HealthFirst | 25 × 1 | 25 |
Hydroxyzine HCl: common questions
- What is the J-code for Hydroxyzine HCl?
- Hydroxyzine HCl is billed under HCPCS J3410 — Injection, hydroxyzine hcl, up to 25 mg. One billing unit is 25 mg. CMS's crosswalk lists 6 Hydroxyzine HCl NDCs under this code.
- How many J3410 billing units are in a package of Hydroxyzine HCl?
- CMS lists 2 to 100 billing units per package, depending on the NDC, where one unit is 25 mg. Units to report are based on the dose given, not the package.
- Is J3410 a CPT code?
- No. J3410 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.