HCPCS drug code · CMS crosswalk
Micafungin J-Code / HCPCS Code
In short
CMS assigns Micafungin NDCs to 2 HCPCS codes: J2247 (per 1 mg), J2248 (per 1 mg). Which one applies depends on the product; the table lists each NDC with its code.
Reference
- J2247
- Injection, micafungin sodium (par pharm) not thereapeutically equivalent to j2248, 1 mgBilling unit: 1 mg
- J2248
- Injection, micafungin sodium, 1 mgBilling unit: 1 mg
- Labelers
- Apotex Corp; Biocon Pharma Inc; Civica, Inc.; Endo USA, Inc.; FreseniUS Kabi USA, LLC; Glenmark Pharmaceuticals Inc., USA; Hikma Pharmaceuticals USA Inc.; Meitheal Pharmaceuticals 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
Micafungin units and claim line
Enter the dose given to get the J2247 units and the NDC line for the CMS-1500 and the 837P. This builds the J2247 line; use the code page for J2248.
Enter the dose given to build the claim line.
Micafungin 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 |
|---|---|---|---|---|
| 42023-0229-10 | J2247 | Endo USA, Inc. | 10 × 1 | 500 |
| 42023-0230-10 | J2247 | Endo USA, Inc. | 10 × 1 | 1000 |
| 00143-9361-01 | J2248 | Hikma Pharmaceuticals USA Inc. | 1 | 50 |
| 00143-9362-01 | J2248 | Hikma Pharmaceuticals USA Inc. | 1 | 100 |
| 25021-0190-10 | J2248 | Sagent Pharmaceuticals | 1 | 50 |
| 25021-0190-11 | J2248 | Sagent Pharmaceuticals | 10 × 1 | 500 |
| 25021-0190-12 | J2248 | Sagent Pharmaceuticals | 20 × 1 | 1000 |
| 25021-0191-10 | J2248 | Sagent Pharmaceuticals | 1 | 100 |
| 25021-0191-11 | J2248 | Sagent Pharmaceuticals | 10 × 1 | 1000 |
| 25021-0191-12 | J2248 | Sagent Pharmaceuticals | 20 × 1 | 2000 |
| 60505-6119-05 | J2248 | Apotex Corp | 10 × 1 | 500 |
| 60505-6120-06 | J2248 | Apotex Corp | 10 × 1 | 1000 |
| 63323-0729-12 | J2248 | FreseniUS Kabi USA, LLC | 10 × 1 | 1000 |
| 68462-0771-01 | J2248 | Glenmark Pharmaceuticals Inc., USA | 1 | 50 |
| 68462-0771-10 | J2248 | Glenmark Pharmaceuticals Inc., USA | 10 × 1 | 500 |
| 68462-0772-01 | J2248 | Glenmark Pharmaceuticals Inc., USA | 1 | 100 |
| 68462-0772-10 | J2248 | Glenmark Pharmaceuticals Inc., USA | 10 × 1 | 1000 |
| 70377-0075-91 | J2248 | Biocon Pharma Inc | 10 × 1 | 500 |
| 70377-0076-91 | J2248 | Biocon Pharma Inc | 10 × 1 | 1000 |
| 70594-0036-01 | J2248 | Xellia Pharmaceuticals USA, LLC. | 1 | 50 |
| 70594-0037-01 | J2248 | Xellia Pharmaceuticals USA, LLC. | 1 | 100 |
| 70710-1724-06 | J2248 | Zydus Pharmaceuticals (USA) Inc. | 10 × 1 | 500 |
| 70710-1725-01 | J2248 | Zydus Pharmaceuticals (USA) Inc. | 1 | 100 |
| 70710-1725-06 | J2248 | Zydus Pharmaceuticals (USA) Inc. | 10 × 1 | 1000 |
| 71288-0028-12 | J2248 | Meitheal Pharmaceuticals Inc. | 1 | 50 |
| 71288-0029-12 | J2248 | Meitheal Pharmaceuticals Inc. | 1 | 100 |
| 72572-0427-01 | J2248 | Civica, Inc. | 1 | 100 |
Micafungin: common questions
- What is the J-code for Micafungin?
- CMS assigns Micafungin NDCs to 2 HCPCS codes: J2247 (per 1 mg), J2248 (per 1 mg). Which one applies depends on the product; the table lists each NDC with its code.
- How many J2247 billing units are in a package of Micafungin?
- CMS lists 500 to 1,000 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.
- How many J2248 billing units are in a package of Micafungin?
- CMS lists 50 to 2,000 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 J2247 a CPT code?
- No. J2247 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.