HCPCS drug code · CMS crosswalk
Lemtrada J-Code / HCPCS Code
In short
Lemtrada is billed under HCPCS J0202 — Injection, alemtuzumab, 1 mg. One billing unit is 1 mg. CMS's crosswalk lists 1 Lemtrada NDC under this code.
Reference
- J0202
- Injection, alemtuzumab, 1 mgBilling unit: 1 mg
- Labelers
- Genzyme Corporation
Medicare Part B payment limit
CMS ASP filePayment limit per unit$2,506.20
Per1 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
Lemtrada units and claim line
Enter the dose given to get the J0202 units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Lemtrada 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 |
|---|---|---|---|---|
| 58468-0200-01 | J0202 | Genzyme Corporation | 1.2 | 12 |
Lemtrada: common questions
- What is the J-code for Lemtrada?
- Lemtrada is billed under HCPCS J0202 — Injection, alemtuzumab, 1 mg. One billing unit is 1 mg. CMS's crosswalk lists 1 Lemtrada NDC under this code.
- How many J0202 billing units are in a package of Lemtrada?
- CMS lists 12 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 J0202 a CPT code?
- No. J0202 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.