HCPCS drug code · CMS crosswalk
Levothyroxine Sodium J-Code / HCPCS Code
In short
CMS assigns Levothyroxine Sodium NDCs to 3 HCPCS codes: J0650 (per 10 mcg), J0651 (per 10 mcg), J0652 (per 10 mcg). Which one applies depends on the product; the table lists each NDC with its code.
Reference
- J0650
- Injection, levothyroxine sodium, not otherwise specified, 10 mcgBilling unit: 10 mcg
- J0651
- Injection, levothyroxine sodium (fresenius kabi), not therapeutically equivalent to j0650, 10 mcgBilling unit: 10 mcg
- J0652
- Injection, levothyroxine sodium (hikma), not therapeutically equivalent to j0650, 10 mcgBilling unit: 10 mcg
- Labelers
- Athenex Pharmaceutical Division, LLC; Endo USA, Inc.; Fosun Pharma USA Inc.; FreseniUS Kabi USA, LLC; Hikma Pharmaceuticals USA Inc.; Sagent Pharmaceuticals; Zydus Pharmaceuticals (Usa) 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
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
Levothyroxine Sodium units and claim line
Enter the dose given to get the J0650 units and the NDC line for the CMS-1500 and the 837P. This builds the J0650 line; use the code page for J0651, J0652.
Enter the dose given to build the claim line.
Levothyroxine Sodium 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 |
|---|---|---|---|---|
| 25021-0468-10 | J0650 | Sagent Pharmaceuticals | 1 | 10 |
| 25021-0469-10 | J0650 | Sagent Pharmaceuticals | 1 | 20 |
| 25021-0470-10 | J0650 | Sagent Pharmaceuticals | 1 | 50 |
| 42023-0201-01 | J0650 | Endo USA, Inc. | 1 | 10 |
| 42023-0202-01 | J0650 | Endo USA, Inc. | 1 | 20 |
| 42023-0203-01 | J0650 | Endo USA, Inc. | 1 | 50 |
| 63323-0647-10 | J0650 | FreseniUS Kabi USA, LLC | 1 | 20 |
| 63323-0648-10 | J0650 | FreseniUS Kabi USA, LLC | 1 | 50 |
| 63323-0649-07 | J0650 | FreseniUS Kabi USA, LLC | 5 | 10 |
| 63323-0649-16 | J0650 | FreseniUS Kabi USA, LLC | 1 | 10 |
| 63323-0649-94 | J0650 | FreseniUS Kabi USA, LLC | 5 | 10 |
| 70710-1833-01 | J0650 | Zydus Pharmaceuticals (Usa) Inc. | 1 | 10 |
| 70710-1834-01 | J0650 | Zydus Pharmaceuticals (Usa) Inc. | 1 | 20 |
| 70710-1835-01 | J0650 | Zydus Pharmaceuticals (Usa) Inc. | 1 | 50 |
| 70860-0451-10 | J0650 | Athenex Pharmaceutical Division, LLC | 1 | 10 |
| 70860-0452-10 | J0650 | Athenex Pharmaceutical Division, LLC | 1 | 20 |
| 70860-0453-10 | J0650 | Athenex Pharmaceutical Division, LLC | 1 | 50 |
| 72266-0261-01 | J0650 | Fosun Pharma USA Inc. | 1 | 10 |
| 63323-0885-10 | J0651 | FreseniUS Kabi USA, LLC | 5 | 10 |
| 63323-0885-12 | J0651 | FreseniUS Kabi USA, LLC | 5 | 10 |
| 63323-0885-14 | J0651 | FreseniUS Kabi USA, LLC | 5 | 10 |
| 63323-0890-10 | J0651 | FreseniUS Kabi USA, LLC | 5 | 20 |
| 63323-0895-10 | J0651 | FreseniUS Kabi USA, LLC | 5 | 50 |
| 24201-0002-01 | J0652 | Hikma Pharmaceuticals USA Inc. | 1 | 10 |
Levothyroxine Sodium: common questions
- What is the J-code for Levothyroxine Sodium?
- CMS assigns Levothyroxine Sodium NDCs to 3 HCPCS codes: J0650 (per 10 mcg), J0651 (per 10 mcg), J0652 (per 10 mcg). Which one applies depends on the product; the table lists each NDC with its code.
- How many J0650 billing units are in a package of Levothyroxine Sodium?
- CMS lists 10 to 50 billing units per package, depending on the NDC, where one unit is 10 mcg. Units to report are based on the dose given, not the package.
- How many J0651 billing units are in a package of Levothyroxine Sodium?
- CMS lists 10 to 50 billing units per package, depending on the NDC, where one unit is 10 mcg. Units to report are based on the dose given, not the package.
- How many J0652 billing units are in a package of Levothyroxine Sodium?
- CMS lists 10 billing units per package, depending on the NDC, where one unit is 10 mcg. Units to report are based on the dose given, not the package.
- Is J0650 a CPT code?
- No. J0650 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.