HCPCS drug code · CMS crosswalk
Reclast J-Code / HCPCS Code
In short
Reclast is billed under HCPCS J3489 — Injection, zoledronic acid, 1 mg. One billing unit is 1 mg. CMS's crosswalk lists 1 Reclast NDC under this code.
Reference
- J3489
- Injection, zoledronic acid, 1 mgBilling unit: 1 mg
- Labelers
- Sandoz Inc.
Medicare Part B payment limit
CMS ASP filePayment limit per unit$17.673
Per1 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
Reclast units and claim line
Enter the dose given to get the J3489 units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Reclast 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 |
|---|---|---|---|---|
| 66758-0155-46 | J3489 | Sandoz Inc. | 100 | 5 |
Reclast: common questions
- What is the J-code for Reclast?
- Reclast is billed under HCPCS J3489 — Injection, zoledronic acid, 1 mg. One billing unit is 1 mg. CMS's crosswalk lists 1 Reclast NDC under this code.
- How many J3489 billing units are in a package of Reclast?
- CMS lists 5 billing units per package, depending on the NDC, where one unit is 1 mg. Units to report are based on the dose given, not the package.
- Is J3489 a CPT code?
- No. J3489 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.