HCPCS drug code · CMS crosswalk
Procainamide HCl J-Code / HCPCS Code
In short
Procainamide HCl is billed under HCPCS J2690 — Injection, procainamide hcl, up to 1 gm. One billing unit is 1 gm. CMS's crosswalk lists 11 Procainamide HCl NDCs under this code.
Reference
- J2690
- Injection, procainamide hcl, up to 1 gmBilling unit: 1 gm
- Labelers
- Caplin Steriles USA Inc.; HF Acquisition Co. LLC, DBA HealthFirst; Henry Schein Inc.; Nexus Pharmaceuticals, LLC; Pfizer Inc; Sagent Pharmaceuticals
Medicare Part B payment limit
CMS ASP filePayment limit per unit$394.868
Per1 gm
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
Procainamide HCl units and claim line
Enter the dose given to get the J2690 units and the NDC line for the CMS-1500 and the 837P.
Enter the units to build the claim line.
Procainamide HCl 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 |
|---|---|---|---|---|
| 00409-1902-01 | J2690 | Pfizer Inc | 25 × 10 | 25 |
| 14789-0900-02 | J2690 | Nexus Pharmaceuticals, LLC | 10 × 2 | 10 |
| 14789-0901-10 | J2690 | Nexus Pharmaceuticals, LLC | 10 × 10 | 10 |
| 25021-0322-10 | J2690 | Sagent Pharmaceuticals | 10 × 10 | 10 |
| 25021-0323-02 | J2690 | Sagent Pharmaceuticals | 10 × 2 | 10 |
| 51662-1334-01 | J2690 | HF Acquisition Co. LLC, DBA HealthFirst | 10 | 1 |
| 51662-1334-03 | J2690 | HF Acquisition Co. LLC, DBA HealthFirst | 25 × 10 | 25 |
| 51662-1630-01 | J2690 | Henry Schein Inc. | 10 | 1 |
| 51662-1630-03 | J2690 | HF Acquisition Co. LLC, DBA HealthFirst | 5 × 10 | 5 |
| 65145-0155-10 | J2690 | Caplin Steriles USA Inc. | 10 × 10 | 10 |
| 65145-0156-10 | J2690 | Caplin Steriles USA Inc. | 10 × 2 | 10 |
Procainamide HCl: common questions
- What is the J-code for Procainamide HCl?
- Procainamide HCl is billed under HCPCS J2690 — Injection, procainamide hcl, up to 1 gm. One billing unit is 1 gm. CMS's crosswalk lists 11 Procainamide HCl NDCs under this code.
- How many J2690 billing units are in a package of Procainamide HCl?
- CMS lists 1 to 25 billing units per package, depending on the NDC, where one unit is 1 gm. Units to report are based on the dose given, not the package.
- Is J2690 a CPT code?
- No. J2690 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.