In short

Orencia is billed under HCPCS J0129 — Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered). One billing unit is 10 mg. CMS's crosswalk lists 5 Orencia NDCs under this code.

J0129 code details

Reference

J0129
Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)Billing unit: 10 mg
Labelers
E.R. Squibb & Sons, L.L.C.

Medicare Part B payment limit

CMS ASP file
Payment limit per unit$45.937
Per10 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: "lesser of" methodology applied. A payment limit is not a coverage decision; the Medicare contractor decides coverage. CMS ASP pricing files

Orencia units and claim line

Enter the dose given to get the J0129 units and the NDC line for the CMS-1500 and the 837P.

Enter the dose given to build the claim line.

Orencia 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.

Orencia NDCs in the CMS ASP crosswalk
NDC (11-digit)HCPCSLabelerPackageBilling units per package
00003-2187-13J0129E.R. Squibb & Sons, L.L.C.125
00003-2188-11J0129E.R. Squibb & Sons, L.L.C.4 × 150
00003-2188-51J0129E.R. Squibb & Sons, L.L.C.4 × 150
00003-2814-11J0129E.R. Squibb & Sons, L.L.C.4 × 0.420
00003-2818-11J0129E.R. Squibb & Sons, L.L.C.4 × 0.735

Orencia: common questions

What is the J-code for Orencia?
Orencia is billed under HCPCS J0129 — Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered). One billing unit is 10 mg. CMS's crosswalk lists 5 Orencia NDCs under this code.
How many J0129 billing units are in a package of Orencia?
CMS lists 20 to 50 billing units per package, depending on the NDC, where one unit is 10 mg. Units to report are based on the dose given, not the package.
Is J0129 a CPT code?
No. J0129 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.

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