In short

Pyridoxine Hcl is billed under HCPCS J3415 — Injection, pyridoxine hcl, 100 mg. One billing unit is 100 mg. CMS's crosswalk lists 3 Pyridoxine Hcl NDCs under this code.

J3415 code details

Reference

J3415
Injection, pyridoxine hcl, 100 mgBilling unit: 100 mg
Labelers
FreseniUS Kabi USA, LLC; HF Acquisition Co. LLC, DBA HealthFirst

Medicare Part B payment limit

CMS ASP file
Payment limit per unit$15.788
Per100 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

Pyridoxine Hcl units and claim line

Enter the dose given to get the J3415 units and the NDC line for the CMS-1500 and the 837P.

Enter the dose given to build the claim line.

Pyridoxine 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.

Pyridoxine Hcl NDCs in the CMS ASP crosswalk
NDC (11-digit)HCPCSLabelerPackageBilling units per package
51662-1410-01J3415HF Acquisition Co. LLC, DBA HealthFirst11
51662-1410-03J3415HF Acquisition Co. LLC, DBA HealthFirst25 × 125
63323-0180-01J3415FreseniUS Kabi USA, LLC25 × 125

Pyridoxine Hcl: common questions

What is the J-code for Pyridoxine Hcl?
Pyridoxine Hcl is billed under HCPCS J3415 — Injection, pyridoxine hcl, 100 mg. One billing unit is 100 mg. CMS's crosswalk lists 3 Pyridoxine Hcl NDCs under this code.
How many J3415 billing units are in a package of Pyridoxine Hcl?
CMS lists 1 to 25 billing units per package, depending on the NDC, where one unit is 100 mg. Units to report are based on the dose given, not the package.
Is J3415 a CPT code?
No. J3415 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.

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