HCPCS drug code · CMS crosswalk
Qutenza J-Code / HCPCS Code
In short
Qutenza is billed under HCPCS J7336 — Capsaicin 8% patch, per square centimeter. One billing unit is 1 sq cm. CMS's crosswalk lists 3 Qutenza NDCs under this code.
Reference
- J7336
- Capsaicin 8% patch, per square centimeterBilling unit: 1 sq cm
- Labelers
- Averitas Pharma, Inc.
Medicare Part B payment limit
CMS ASP filePayment limit per unit$3.509
Per1 sq cm
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
Qutenza units and claim line
Enter the dose given to get the J7336 units and the NDC line for the CMS-1500 and the 837P.
Enter the units to build the claim line.
Qutenza 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 |
|---|---|---|---|---|
| 72512-0928-01 | J7336 | Averitas Pharma, Inc. | 1 | 280 |
| 72512-0929-01 | J7336 | Averitas Pharma, Inc. | 2 × 1 | 560 |
| 72512-0930-01 | J7336 | Averitas Pharma, Inc. | 4 × 1 | 1120 |
Qutenza: common questions
- What is the J-code for Qutenza?
- Qutenza is billed under HCPCS J7336 — Capsaicin 8% patch, per square centimeter. One billing unit is 1 sq cm. CMS's crosswalk lists 3 Qutenza NDCs under this code.
- How many J7336 billing units are in a package of Qutenza?
- CMS lists 280 to 1,120 billing units per package, depending on the NDC, where one unit is 1 sq cm. Units to report are based on the dose given, not the package.
- Is J7336 a CPT code?
- No. J7336 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.