HCPCS drug code · CMS crosswalk
Invega Sustenna J-Code / HCPCS Code
In short
Invega Sustenna is billed under HCPCS J2426 — Injection, paliperidone palmitate extended release (invega sustenna), 1 mg. One billing unit is 1 mg. CMS's crosswalk lists 5 Invega Sustenna NDCs under this code.
Reference
- J2426
- Injection, paliperidone palmitate extended release (invega sustenna), 1 mgBilling unit: 1 mg
- Labelers
- Janssen Pharmaceuticals, 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
Invega Sustenna units and claim line
Enter the dose given to get the J2426 units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Invega Sustenna 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 |
|---|---|---|---|---|
| 50458-0560-01 | J2426 | Janssen Pharmaceuticals, Inc. | 0.25 | 39 |
| 50458-0561-01 | J2426 | Janssen Pharmaceuticals, Inc. | 0.5 | 78 |
| 50458-0562-01 | J2426 | Janssen Pharmaceuticals, Inc. | 0.75 | 117 |
| 50458-0563-01 | J2426 | Janssen Pharmaceuticals, Inc. | 1 | 156 |
| 50458-0564-01 | J2426 | Janssen Pharmaceuticals, Inc. | 1.5 | 234 |
Invega Sustenna: common questions
- What is the J-code for Invega Sustenna?
- Invega Sustenna is billed under HCPCS J2426 — Injection, paliperidone palmitate extended release (invega sustenna), 1 mg. One billing unit is 1 mg. CMS's crosswalk lists 5 Invega Sustenna NDCs under this code.
- How many J2426 billing units are in a package of Invega Sustenna?
- CMS lists 39 to 234 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 J2426 a CPT code?
- No. J2426 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.