In short

Phenobarbital Sodium is billed under HCPCS J2560 — Injection, phenobarbital sodium, up to 120 mg. One billing unit is 120 mg. CMS's crosswalk lists 8 Phenobarbital Sodium NDCs under this code.

J2560 code details

Reference

J2560
Injection, phenobarbital sodium, up to 120 mgBilling unit: 120 mg
Labelers
Cameron Pharmaceuticals, LLC; Hikma Pharmaceuticals USA Inc.

Medicare Part B payment limit

CMS ASP file
Payment limit per unit$23.369
Per120 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

Phenobarbital Sodium units and claim line

Enter the dose given to get the J2560 units and the NDC line for the CMS-1500 and the 837P.

Enter the dose given to build the claim line.

Phenobarbital 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.

Phenobarbital Sodium NDCs in the CMS ASP crosswalk
NDC (11-digit)HCPCSLabelerPackageBilling units per package
00641-0476-25J2560Hikma Pharmaceuticals USA Inc.25 × 114
00641-0477-25J2560Hikma Pharmaceuticals USA Inc.25 × 127
42494-0415-03J2560Cameron Pharmaceuticals, LLC3 × 12
42494-0415-25J2560Cameron Pharmaceuticals, LLC25 × 114
42494-0416-03J2560Cameron Pharmaceuticals, LLC3 × 14
42494-0416-25J2560Cameron Pharmaceuticals, LLC25 × 127
42494-0441-25J2560Cameron Pharmaceuticals, LLC25 × 114
42494-0442-25J2560Cameron Pharmaceuticals, LLC25 × 127

Phenobarbital Sodium: common questions

What is the J-code for Phenobarbital Sodium?
Phenobarbital Sodium is billed under HCPCS J2560 — Injection, phenobarbital sodium, up to 120 mg. One billing unit is 120 mg. CMS's crosswalk lists 8 Phenobarbital Sodium NDCs under this code.
How many J2560 billing units are in a package of Phenobarbital Sodium?
CMS lists 2 to 27 billing units per package, depending on the NDC, where one unit is 120 mg. Units to report are based on the dose given, not the package.
Is J2560 a CPT code?
No. J2560 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.

Related

Free account

Keep searching with a free account

You’ve used your 3 free searches for this session. Log in or create a free Med-Code account to keep looking up NDCs, J-codes and drugs.

Create a free accountLog in