In short

CMS assigns Pentamidine Isethionate NDCs to 2 HCPCS codes: J2516 (per 1 mg), J2545 (per 300 mg). Which one applies depends on the product; the table lists each NDC with its code.

J2516 code detailsJ2545 code details

Reference

J2516
Injection, pentamidine isethionate, 1 mgBilling unit: 1 mg
J2545
Pentamidine isethionate, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 300 mgBilling unit: 300 mg
Labelers
Heritage Pharmaceuticals Inc.; PAI Holdings, LLC; Seton Pharmaceuticals; XGen Pharmaceuticals DJB, Inc.

Medicare Part B payment limit

CMS ASP file
Payment limit per unit$0.482
Per1 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

Medicare Part B payment limit

CMS ASP file
Payment limit per unit$67.047
Per300 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

Pentamidine Isethionate units and claim line

Enter the dose given to get the J2516 units and the NDC line for the CMS-1500 and the 837P. This builds the J2516 line; use the code page for J2545.

Enter the dose given to build the claim line.

Pentamidine Isethionate 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.

Pentamidine Isethionate NDCs in the CMS ASP crosswalk
NDC (11-digit)HCPCSLabelerPackageBilling units per package
00121-1101-02J2516PAI Holdings, LLC10 × 13000
23155-0748-41J2516Heritage Pharmaceuticals Inc.10 × 13000
13925-0522-01J2545Seton Pharmaceuticals11
39822-3030-02J2545XGen Pharmaceuticals DJB, Inc.11

Pentamidine Isethionate: common questions

What is the J-code for Pentamidine Isethionate?
CMS assigns Pentamidine Isethionate NDCs to 2 HCPCS codes: J2516 (per 1 mg), J2545 (per 300 mg). Which one applies depends on the product; the table lists each NDC with its code.
How many J2516 billing units are in a package of Pentamidine Isethionate?
CMS lists 3,000 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 J2545 billing units are in a package of Pentamidine Isethionate?
CMS lists 1 billing units per package, depending on the NDC, where one unit is 300 mg. Units to report are based on the dose given, not the package.
Is J2516 a CPT code?
No. J2516 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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