HCPCS drug code · CMS crosswalk
Levetiracetam J-Code / HCPCS Code
In short
CMS assigns Levetiracetam NDCs to 2 HCPCS codes: J1957 (per 5 mg), J1958 (per 5 mg). Which one applies depends on the product; the table lists each NDC with its code.
Reference
- J1957
- Injection, levetiracetam, 5 mgBilling unit: 5 mg
- J1958
- Injection, levetiracetam in sodium chloride, 5 mgBilling unit: 5 mg
- Labelers
- Armas Pharmaceuticals Inc.; B. Braun Medical Inc.; Baxter Healthcare Corporation; Caplin Steriles USA Inc.; Civica, Inc.; Dr. Reddy's Laboratories Inc.; Eugia US LLC; FreseniUS Kabi USA, LLCand 8 more
Medicare Part B payment limit
CMS ASP filePayment limit per unit$0.013
Per5 mg
Coinsurance20%
Effective October 1, 2026 through December 31, 2026. Payment allowance limits subject to the ASP methodology are based on 2Q26 ASP data. CMS note: Added October 2026. A payment limit is not a coverage decision; the Medicare contractor decides coverage. CMS ASP pricing files
Medicare Part B payment limit
CMS ASP filePayment limit per unit$0.033
Per5 mg
Coinsurance20%
Effective October 1, 2026 through December 31, 2026. Payment allowance limits subject to the ASP methodology are based on 2Q26 ASP data. CMS note: Added October 2026. A payment limit is not a coverage decision; the Medicare contractor decides coverage. CMS ASP pricing files
Levetiracetam units and claim line
Enter the dose given to get the J1957 units and the NDC line for the CMS-1500 and the 837P. This builds the J1957 line; use the code page for J1958.
Enter the dose given to build the claim line.
Levetiracetam 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 |
|---|---|---|---|---|
| 00143-9574-25 | J1957 | Hikma Pharmaceuticals USA Inc. | 25 × 5 | 2500 |
| 00143-9673-25 | J1957 | Hikma Pharmaceuticals USA Inc. | 25 × 5 | 2500 |
| 00409-1886-02 | J1957 | Pfizer Inc | 25 × 5 | 2500 |
| 00409-2011-25 | J1957 | Pfizer Inc | 25 × 5 | 2500 |
| 25021-0780-05 | J1957 | Sagent Pharmaceuticals | 10 × 5 | 1000 |
| 55150-0177-05 | J1957 | Eugia US LLC | 10 × 5 | 1000 |
| 63323-0400-05 | J1957 | FreseniUS Kabi USA, LLC | 10 × 5 | 1000 |
| 63323-0400-44 | J1957 | FreseniUS Kabi USA, LLC | 10 × 5 | 1000 |
| 67457-0790-05 | J1957 | Mylan Institutional LLC | 10 × 5 | 1000 |
| 72205-0120-07 | J1957 | Novadoz Pharmaceuticals LLC | 10 × 5 | 1000 |
| 72205-0120-25 | J1957 | Novadoz Pharmaceuticals LLC | 25 × 5 | 2500 |
| 72485-0106-10 | J1957 | Armas Pharmaceuticals Inc. | 10 × 5 | 1000 |
| 72485-0106-25 | J1957 | Armas Pharmaceuticals Inc. | 25 × 5 | 2500 |
| 72572-0360-25 | J1957 | Civica, Inc. | 25 × 5 | 2500 |
| 00143-9281-10 | J1958 | Hikma Pharmaceuticals USA Inc. | 10 × 100 | 1000 |
| 00143-9282-10 | J1958 | Hikma Pharmaceuticals USA Inc. | 10 × 100 | 2000 |
| 00143-9283-10 | J1958 | Hikma Pharmaceuticals USA Inc. | 10 × 100 | 3000 |
| 00264-1009-90 | J1958 | B. Braun Medical Inc. | 24 × 100 | 4800 |
| 00264-1509-90 | J1958 | B. Braun Medical Inc. | 24 × 100 | 7200 |
| 00264-5009-90 | J1958 | B. Braun Medical Inc. | 24 × 100 | 2400 |
| 14789-0110-05 | J1958 | Nexus Pharmaceuticals, LLC | 10 × 100 | 1000 |
| 14789-0220-10 | J1958 | Nexus Pharmaceuticals, LLC | 10 × 100 | 2000 |
| 14789-0330-15 | J1958 | Nexus Pharmaceuticals, LLC | 10 × 100 | 3000 |
| 25021-0793-82 | J1958 | Sagent Pharmaceuticals | 10 × 100 | 1000 |
| 25021-0794-82 | J1958 | Sagent Pharmaceuticals | 10 × 100 | 2000 |
| 25021-0795-82 | J1958 | Sagent Pharmaceuticals | 10 × 100 | 3000 |
| 36000-0352-40 | J1958 | Baxter Healthcare Corporation | 24 × 100 | 2400 |
| 36000-0354-40 | J1958 | Baxter Healthcare Corporation | 24 × 100 | 7200 |
| 36000-0356-40 | J1958 | Baxter Healthcare Corporation | 24 × 100 | 4800 |
| 43598-0635-10 | J1958 | Dr. Reddy's Laboratories Inc. | 10 × 100 | 1000 |
| 43598-0636-10 | J1958 | Dr. Reddy's Laboratories Inc. | 10 × 100 | 2000 |
| 43598-0637-10 | J1958 | Dr. Reddy's Laboratories Inc. | 10 × 100 | 3000 |
| 43598-0755-10 | J1958 | Dr. Reddy's Laboratories Inc. | 10 × 100 | 1000 |
| 43598-0757-10 | J1958 | Dr. Reddy's Laboratories Inc. | 10 × 100 | 2000 |
| 43598-0759-10 | J1958 | Dr. Reddy's Laboratories Inc. | 10 × 100 | 3000 |
| 44567-0501-10 | J1958 | WG Critical Care, LLC | 10 × 100 | 1000 |
| 44567-0501-90 | J1958 | WG Critical Care, LLC | 10 × 100 | 1000 |
| 44567-0502-10 | J1958 | WG Critical Care, LLC | 10 × 100 | 2000 |
| 44567-0503-10 | J1958 | WG Critical Care, LLC | 10 × 100 | 3000 |
| 55150-0246-47 | J1958 | Eugia US LLC | 10 × 100 | 1000 |
| 55150-0247-47 | J1958 | Eugia US LLC | 10 × 100 | 2000 |
| 55150-0248-47 | J1958 | Eugia US LLC | 10 × 100 | 3000 |
| 65145-0173-10 | J1958 | Caplin Steriles USA Inc. | 10 × 100 | 1000 |
| 65145-0174-10 | J1958 | Caplin Steriles USA Inc. | 10 × 100 | 2000 |
| 65145-0175-10 | J1958 | Caplin Steriles USA Inc. | 10 × 100 | 3000 |
| 65219-0042-71 | J1958 | FreseniUS Kabi USA, LLC | 24 × 100 | 2400 |
| 65219-0044-71 | J1958 | FreseniUS Kabi USA, LLC | 24 × 100 | 4800 |
| 65219-0046-71 | J1958 | FreseniUS Kabi USA, LLC | 24 × 100 | 7200 |
| 67457-0255-10 | J1958 | Mylan Institutional LLC | 10 × 100 | 1000 |
| 67457-0265-10 | J1958 | Mylan Institutional LLC | 10 × 100 | 2000 |
| 67457-0266-10 | J1958 | Mylan Institutional LLC | 10 × 100 | 3000 |
| 70069-0845-10 | J1958 | Somerset Pharma, LLC | 10 × 100 | 1000 |
| 70069-0846-10 | J1958 | Somerset Pharma, LLC | 10 × 100 | 2000 |
| 70069-0847-10 | J1958 | Somerset Pharma, LLC | 10 × 100 | 3000 |
Levetiracetam: common questions
- What is the J-code for Levetiracetam?
- CMS assigns Levetiracetam NDCs to 2 HCPCS codes: J1957 (per 5 mg), J1958 (per 5 mg). Which one applies depends on the product; the table lists each NDC with its code.
- How many J1957 billing units are in a package of Levetiracetam?
- CMS lists 1,000 to 2,500 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 J1958 billing units are in a package of Levetiracetam?
- CMS lists 1,000 to 7,200 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 J1957 a CPT code?
- No. J1957 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.