HCPCS drug code · CMS crosswalk
Phytonadione J-Code / HCPCS Code
In short
Phytonadione is billed under HCPCS J3430 — Injection, phytonadione (vitamin k), per 1 mg. One billing unit is 1 mg. CMS's crosswalk lists 11 Phytonadione NDCs under this code.
Reference
- J3430
- Injection, phytonadione (vitamin k), per 1 mgBilling unit: 1 mg
- Labelers
- Amneal Pharmaceuticals, LLC; Baxter Healthcare Corp.; Cipla USA, Inc.; Dr. Reddy's Laboratories Inc.; FreseniUS Kabi USA, LLC; Glenmark Pharmaceuticals Inc., USA; Henry Schein Inc.; Xiromed, LLC
Medicare Part B payment limit
CMS ASP filePayment limit per unit$3.989
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
Phytonadione units and claim line
Enter the dose given to get the J3430 units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Phytonadione 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 |
|---|---|---|---|---|
| 00404-9935-05 | J3430 | Henry Schein Inc. | 0.5 | 1 |
| 00404-9969-01 | J3430 | Henry Schein Inc. | 1 | 10 |
| 43066-0132-10 | J3430 | Baxter Healthcare Corp. | 10 × 0.5 | 10 |
| 43598-0405-16 | J3430 | Dr. Reddy's Laboratories Inc. | 25 × 1 | 250 |
| 65219-0635-01 | J3430 | FreseniUS Kabi USA, LLC | 10 × 1 | 100 |
| 68462-0758-25 | J3430 | Glenmark Pharmaceuticals Inc., USA | 25 × 1 | 250 |
| 69097-0003-96 | J3430 | Cipla USA, Inc. | 10 × 0.5 | 10 |
| 69097-0708-96 | J3430 | Cipla USA, Inc. | 10 × 1 | 100 |
| 69097-0709-96 | J3430 | Cipla USA, Inc. | 10 × 0.5 | 10 |
| 70121-1682-07 | J3430 | Amneal Pharmaceuticals, LLC | 10 × 0.5 | 10 |
| 70700-0331-25 | J3430 | Xiromed, LLC | 25 × 1 | 250 |
Phytonadione: common questions
- What is the J-code for Phytonadione?
- Phytonadione is billed under HCPCS J3430 — Injection, phytonadione (vitamin k), per 1 mg. One billing unit is 1 mg. CMS's crosswalk lists 11 Phytonadione NDCs under this code.
- How many J3430 billing units are in a package of Phytonadione?
- CMS lists 1 to 250 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 J3430 a CPT code?
- No. J3430 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.