HCPCS drug code · CMS crosswalk
Labetalol HCl J-Code / HCPCS Code
In short
CMS assigns Labetalol HCl NDCs to 2 HCPCS codes: J1920 (per 5 mg), J1921 (per 5 mg). Which one applies depends on the product; the table lists each NDC with its code.
Reference
- J1920
- Injection, labetalol hydrochloride, 5 mgBilling unit: 5 mg
- J1921
- Injection, labetalol hydrochloride (hikma), not therapeutically equivalent to j1920, 5 mgBilling unit: 5 mg
- Labelers
- Amneal Pharmaceuticals, LLC; Baxter Healthcare Corporation; Caplin Steriles USA Inc.; Civica, Inc.; Fosun Pharma USA Inc.; HF Acquisition Co. LLC, DBA HealthFirst; Hikma Pharmaceuticals USA Inc.; Mullan Pharmaceutical Inc.and 3 more
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
Labetalol HCl units and claim line
Enter the dose given to get the J1920 units and the NDC line for the CMS-1500 and the 837P. This builds the J1920 line; use the code page for J1921.
Enter the dose given to build the claim line.
Labetalol 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 |
|---|---|---|---|---|
| 00143-9320-01 | J1920 | Hikma Pharmaceuticals USA Inc. | 20 | 20 |
| 00143-9622-01 | J1920 | Hikma Pharmaceuticals USA Inc. | 20 | 20 |
| 00143-9623-01 | J1920 | Hikma Pharmaceuticals USA Inc. | 40 | 40 |
| 00409-0125-25 | J1920 | Pfizer Inc | 25 × 20 | 500 |
| 00409-2267-54 | J1920 | Pfizer Inc | 40 | 40 |
| 00409-2339-34 | J1920 | Pfizer Inc | 10 × 4 | 40 |
| 25021-0317-20 | J1920 | Sagent Pharmaceuticals | 20 | 20 |
| 25021-0317-40 | J1920 | Sagent Pharmaceuticals | 40 | 40 |
| 36000-0320-10 | J1920 | Baxter Healthcare Corporation | 10 × 4 | 40 |
| 36000-0322-02 | J1920 | Baxter Healthcare Corporation | 20 | 20 |
| 36000-0324-02 | J1920 | Baxter Healthcare Corporation | 40 | 40 |
| 51662-1228-01 | J1920 | HF Acquisition Co. LLC, DBA HealthFirst | 20 | 20 |
| 51662-1602-01 | J1920 | HF Acquisition Co. LLC, DBA HealthFirst | 20 | 20 |
| 51662-1602-09 | J1920 | HF Acquisition Co. LLC, DBA HealthFirst | 20 | 20 |
| 65145-0124-01 | J1920 | Caplin Steriles USA Inc. | 20 | 20 |
| 65145-0125-01 | J1920 | Caplin Steriles USA Inc. | 40 | 40 |
| 70121-2428-03 | J1920 | Amneal Pharmaceuticals, LLC | 24 × 4 | 96 |
| 72266-0102-01 | J1920 | Fosun Pharma USA Inc. | 20 | 20 |
| 72266-0103-01 | J1920 | Fosun Pharma USA Inc. | 40 | 40 |
| 72266-0103-41 | J1920 | Fosun Pharma USA Inc. | 40 | 40 |
| 72572-0350-01 | J1920 | Civica, Inc. | 20 | 20 |
| 72603-0146-01 | J1920 | Northstar RxLLC | 20 | 20 |
| 83301-0059-01 | J1920 | Mullan Pharmaceutical Inc. | 40 | 40 |
| 00143-9183-10 | J1921 | Hikma Pharmaceuticals USA Inc. | 10 × 4 | 40 |
| 00641-6252-10 | J1921 | Hikma Pharmaceuticals USA Inc. | 10 × 2 | 20 |
Labetalol HCl: common questions
- What is the J-code for Labetalol HCl?
- CMS assigns Labetalol HCl NDCs to 2 HCPCS codes: J1920 (per 5 mg), J1921 (per 5 mg). Which one applies depends on the product; the table lists each NDC with its code.
- How many J1920 billing units are in a package of Labetalol HCl?
- CMS lists 20 to 500 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.
- How many J1921 billing units are in a package of Labetalol HCl?
- CMS lists 20 to 40 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 J1920 a CPT code?
- No. J1920 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.