HCPCS drug code · CMS crosswalk
Polocaine J-Code / HCPCS Code
In short
Polocaine is billed under HCPCS J0670 — Injection, mepivacaine hydrochloride, per 10 ml. One billing unit is 10 ml. CMS's crosswalk lists 6 Polocaine NDCs under this code.
Reference
- J0670
- Injection, mepivacaine hydrochloride, per 10 mlBilling unit: 10 ml
- Labelers
- A-S Medication Solutions; FreseniUS Kabi USA, LLC; HF Acquisition Co. LLC, DBA HealthFirst
Medicare Part B payment limit
CMS ASP filePayment limit per unit$4.367
Per10 ml
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
Polocaine units and claim line
Enter the dose given to get the J0670 units and the NDC line for the CMS-1500 and the 837P.
Enter the units to build the claim line.
Polocaine 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 |
|---|---|---|---|---|
| 50090-4408-00 | J0670 | A-S Medication Solutions | 50 | 5 |
| 50090-4517-00 | J0670 | A-S Medication Solutions | 50 | 5 |
| 51662-1534-03 | J0670 | HF Acquisition Co. LLC, DBA HealthFirst | 25 × 50 | 125 |
| 51662-1535-03 | J0670 | HF Acquisition Co. LLC, DBA HealthFirst | 25 × 50 | 125 |
| 63323-0283-57 | J0670 | FreseniUS Kabi USA, LLC | 25 × 50 | 125 |
| 63323-0296-57 | J0670 | FreseniUS Kabi USA, LLC | 25 × 50 | 125 |
Polocaine: common questions
- What is the J-code for Polocaine?
- Polocaine is billed under HCPCS J0670 — Injection, mepivacaine hydrochloride, per 10 ml. One billing unit is 10 ml. CMS's crosswalk lists 6 Polocaine NDCs under this code.
- How many J0670 billing units are in a package of Polocaine?
- CMS lists 5 to 125 billing units per package, depending on the NDC, where one unit is 10 ml. Units to report are based on the dose given, not the package.
- Is J0670 a CPT code?
- No. J0670 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.