HCPCS drug code · CMS crosswalk
Ozurdex J-Code / HCPCS Code
In short
Ozurdex is billed under HCPCS J7312 — Injection, dexamethasone, intravitreal implant, 0.1 mg. One billing unit is 0.1 mg. CMS's crosswalk lists 1 Ozurdex NDC under this code.
Reference
- J7312
- Injection, dexamethasone, intravitreal implant, 0.1 mgBilling unit: 0.1 mg
- Labelers
- Allergan, Inc.
Medicare Part B payment limit
CMS ASP filePayment limit per unit$202.424
Per0.1 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
Ozurdex units and claim line
Enter the dose given to get the J7312 units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Ozurdex 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 |
|---|---|---|---|---|
| 00023-3348-07 | J7312 | Allergan, Inc. | 0.7 | 7 |
Ozurdex: common questions
- What is the J-code for Ozurdex?
- Ozurdex is billed under HCPCS J7312 — Injection, dexamethasone, intravitreal implant, 0.1 mg. One billing unit is 0.1 mg. CMS's crosswalk lists 1 Ozurdex NDC under this code.
- How many J7312 billing units are in a package of Ozurdex?
- CMS lists 7 billing units per package, depending on the NDC, where one unit is 0.1 mg. Units to report are based on the dose given, not the package.
- Is J7312 a CPT code?
- No. J7312 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.
Other codes for the same drug
- J1095Injection, dexamethasone 9 percent, intraocular, 1 microgram
- J1096Dexamethasone, lacrimal ophthalmic insert, 0.1 mg
- J1100Injection, dexamethasone sodium phosphate, 1 mg
- J7637Dexamethasone, inhalation solution, compounded product, administered through dme, concentrated form, per milligram
- J7638Dexamethasone, inhalation solution, compounded product, administered through dme, unit dose form, per milligram
- J8540Dexamethasone, oral, 0.25 mg
- J8541Dexamethasone (hemady), oral, 0.25 mg