HCPCS drug code · CMS crosswalk
Prochlorperazine Edisylate J-Code / HCPCS Code
In short
Prochlorperazine Edisylate is billed under HCPCS J0780 — Injection, prochlorperazine, up to 10 mg. One billing unit is 10 mg. CMS's crosswalk lists 18 Prochlorperazine Edisylate NDCs under this code.
Reference
- J0780
- Injection, prochlorperazine, up to 10 mgBilling unit: 10 mg
- Labelers
- Athenex Pharmaceutical Division, LLC; Avenacy Inc.; Baxter Healthcare Corporation; Caplin Steriles USA Inc.; Civica, Inc.; Fosun Pharma USA Inc.; HF Acquisition Co. LLC, DBA HealthFirst; Heritage Pharmaceuticals Inc.and 5 more
Medicare Part B payment limit
CMS ASP fileEffective 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
Prochlorperazine Edisylate units and claim line
Enter the dose given to get the J0780 units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Prochlorperazine Edisylate 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 |
|---|---|---|---|---|
| 00641-6135-25 | J0780 | Hikma Pharmaceuticals USA Inc. | 25 × 2 | 25 |
| 14789-0700-02 | J0780 | Nexus Pharmaceuticals, LLC | 10 × 2 | 10 |
| 23155-0294-41 | J0780 | Heritage Pharmaceuticals Inc. | 25 × 2 | 25 |
| 23155-0294-42 | J0780 | Heritage Pharmaceuticals Inc. | 10 × 2 | 10 |
| 23155-0497-42 | J0780 | Heritage Pharmaceuticals Inc. | 10 × 2 | 10 |
| 23155-0523-41 | J0780 | Heritage Pharmaceuticals Inc. | 10 × 2 | 10 |
| 25021-0790-02 | J0780 | Sagent Pharmaceuticals | 10 × 2 | 10 |
| 25021-0790-03 | J0780 | Sagent Pharmaceuticals | 25 × 2 | 25 |
| 43066-0090-25 | J0780 | Baxter Healthcare Corporation | 25 × 2 | 25 |
| 51662-1558-03 | J0780 | HF Acquisition Co. LLC, DBA HealthFirst | 25 × 2 | 25 |
| 65145-0119-10 | J0780 | Caplin Steriles USA Inc. | 10 × 2 | 10 |
| 67457-0640-02 | J0780 | Mylan Institutional LLC | 25 × 2 | 25 |
| 67457-0640-99 | J0780 | Mylan Institutional LLC | 10 × 2 | 10 |
| 70069-0371-25 | J0780 | Somerset Pharma, LLC | 25 × 2 | 25 |
| 70860-0778-02 | J0780 | Athenex Pharmaceutical Division, LLC | 10 × 2 | 10 |
| 72266-0204-10 | J0780 | Fosun Pharma USA Inc. | 10 × 2 | 10 |
| 72572-0580-25 | J0780 | Civica, Inc. | 25 × 2 | 25 |
| 83634-0778-02 | J0780 | Avenacy Inc. | 10 × 2 | 10 |
Prochlorperazine Edisylate: common questions
- What is the J-code for Prochlorperazine Edisylate?
- Prochlorperazine Edisylate is billed under HCPCS J0780 — Injection, prochlorperazine, up to 10 mg. One billing unit is 10 mg. CMS's crosswalk lists 18 Prochlorperazine Edisylate NDCs under this code.
- How many J0780 billing units are in a package of Prochlorperazine Edisylate?
- CMS lists 10 to 25 billing units per package, depending on the NDC, where one unit is 10 mg. Units to report are based on the dose given, not the package.
- Is J0780 a CPT code?
- No. J0780 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.