In short

Propofol is billed under HCPCS J2704 — Injection, propofol, 10 mg. One billing unit is 10 mg. CMS's crosswalk lists 43 Propofol NDCs under this code.

J2704 code details

Reference

J2704
Injection, propofol, 10 mgBilling unit: 10 mg
Labelers
Amneal Pharmaceuticals Private Limited; Amneal Pharmaceuticals, LLC; Avenacy Inc.; Civica, Inc.; Dr. Reddy's Laboratories Inc.; FreseniUS Kabi USA, LLC; HF Acquisition Co. LLC, DBA HealthFirst; Heritage Pharmaceuticals Inc.and 5 more

Medicare Part B payment limit

CMS ASP file
Payment limit per unit$0.093
Per10 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

Propofol units and claim line

Enter the dose given to get the J2704 units and the NDC line for the CMS-1500 and the 837P.

Enter the dose given to build the claim line.

Propofol 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.

Propofol NDCs in the CMS ASP crosswalk
NDC (11-digit)HCPCSLabelerPackageBilling units per package
00069-0209-10J2704Pfizer Inc10 × 20200
00069-0234-20J2704Pfizer Inc20 × 501000
00069-0248-10J2704Pfizer Inc10 × 1001000
00409-4699-24J2704Pfizer Inc10 × 1001000
00409-4699-33J2704Pfizer Inc20 × 501000
00409-6010-25J2704Pfizer Inc25 × 20500
00641-6194-10J2704Hikma Pharmaceuticals USA Inc.10 × 20200
00641-6195-20J2704Hikma Pharmaceuticals USA Inc.20 × 501000
00641-6196-10J2704Hikma Pharmaceuticals USA Inc.10 × 1001000
16714-0528-10J2704Northstar RxLLC10 × 20200
16714-0528-20J2704Northstar RxLLC20 × 20400
16714-0690-10J2704Northstar RxLLC10 × 1001000
16714-0977-20J2704Northstar RxLLC20 × 501000
23155-0345-41J2704Heritage Pharmaceuticals Inc.10 × 20200
23155-0345-42J2704Heritage Pharmaceuticals Inc.20 × 501000
23155-0345-43J2704Heritage Pharmaceuticals Inc.10 × 1001000
23155-0345-44J2704Heritage Pharmaceuticals Inc.20 × 20400
25021-0608-20J2704Sagent Pharmaceuticals25 × 20500
25021-0608-50J2704Sagent Pharmaceuticals20 × 501000
25021-0608-51J2704Sagent Pharmaceuticals10 × 1001000
43598-0265-25J2704Dr. Reddy's Laboratories Inc.25 × 20500
43598-0265-58J2704Dr. Reddy's Laboratories Inc.10 × 20200
43598-0548-21J2704Dr. Reddy's Laboratories Inc.20 × 501000
43598-0549-10J2704Dr. Reddy's Laboratories Inc.10 × 1001000
51662-1470-01J2704HF Acquisition Co. LLC, DBA HealthFirst100100
51662-1471-01J2704HF Acquisition Co. LLC, DBA HealthFirst5050
63323-0269-50J2704FreseniUS Kabi USA, LLC20 × 501000
63323-0269-57J2704FreseniUS Kabi USA, LLC20 × 501000
63323-0269-65J2704FreseniUS Kabi USA, LLC10 × 1001000
63323-0269-67J2704FreseniUS Kabi USA, LLC10 × 1001000
63323-0269-78J2704FreseniUS Kabi USA, LLC10 × 1001000
71288-0729-21J2704Meitheal Pharmaceuticals, Inc.10 × 20200
71288-0730-51J2704Meitheal Pharmaceuticals, Inc.10 × 50500
71288-0731-53J2704Meitheal Pharmaceuticals, Inc.10 × 1001000
72572-0590-10J2704Civica, Inc.10 × 20200
72572-0601-20J2704Civica, Inc.20 × 501000
72572-0612-10J2704Civica, Inc.10 × 1001000
80830-1188-07J2704Amneal Pharmaceuticals, LLC10 × 20200
80830-2364-08J2704Amneal Pharmaceuticals Private Limited20 × 501000
80830-2365-07J2704Amneal Pharmaceuticals, LLC10 × 1001000
83634-0603-20J2704Avenacy Inc.20 × 20400
83634-0603-50J2704Avenacy Inc.20 × 501000
83634-0603-51J2704Avenacy Inc.10 × 1001000

Propofol: common questions

What is the J-code for Propofol?
Propofol is billed under HCPCS J2704 — Injection, propofol, 10 mg. One billing unit is 10 mg. CMS's crosswalk lists 43 Propofol NDCs under this code.
How many J2704 billing units are in a package of Propofol?
CMS lists 50 to 1,000 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 J2704 a CPT code?
No. J2704 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