HCPCS drug code · CMS crosswalk
Risperdal Consta J-Code / HCPCS Code
In short
Risperdal Consta is billed under HCPCS J2794 — Injection, risperidone (risperdal consta), 0.5 mg. One billing unit is 0.5 mg. CMS's crosswalk lists 4 Risperdal Consta NDCs under this code.
Reference
- J2794
- Injection, risperidone (risperdal consta), 0.5 mgBilling unit: 0.5 mg
- Labelers
- Janssen Pharmaceuticals, Inc.
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
Risperdal Consta units and claim line
Enter the dose given to get the J2794 units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Risperdal Consta 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 |
|---|---|---|---|---|
| 50458-0306-11 | J2794 | Janssen Pharmaceuticals, Inc. | 1 | 50 |
| 50458-0307-11 | J2794 | Janssen Pharmaceuticals, Inc. | 1 | 75 |
| 50458-0308-11 | J2794 | Janssen Pharmaceuticals, Inc. | 1 | 100 |
| 50458-0309-11 | J2794 | Janssen Pharmaceuticals, Inc. | 1 | 25 |
Risperdal Consta: common questions
- What is the J-code for Risperdal Consta?
- Risperdal Consta is billed under HCPCS J2794 — Injection, risperidone (risperdal consta), 0.5 mg. One billing unit is 0.5 mg. CMS's crosswalk lists 4 Risperdal Consta NDCs under this code.
- How many J2794 billing units are in a package of Risperdal Consta?
- CMS lists 25 to 100 billing units per package, depending on the NDC, where one unit is 0.5 mg. Units to report are based on the dose given, not the package.
- Is J2794 a CPT code?
- No. J2794 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.