HCPCS drug code · CMS crosswalk
Risperidone ER J-Code / HCPCS Code
In short
Risperidone ER is billed under HCPCS J2794 — Injection, risperidone (risperdal consta), 0.5 mg. One billing unit is 0.5 mg. CMS's crosswalk lists 10 Risperidone ER NDCs under this code.
Reference
- J2794
- Injection, risperidone (risperdal consta), 0.5 mgBilling unit: 0.5 mg
- Labelers
- Amneal Pharmaceuticals, LLC; Lupin Pharmaceuticals, Inc.; Teva Pharmaceuticals USA, 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
Risperidone ER 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.
Risperidone ER 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 |
|---|---|---|---|---|
| 00480-1232-08 | J2794 | Teva Pharmaceuticals USA, Inc. | 1 | 50 |
| 00480-1342-08 | J2794 | Teva Pharmaceuticals USA, Inc. | 1 | 75 |
| 00480-1453-08 | J2794 | Teva Pharmaceuticals USA, Inc. | 1 | 100 |
| 00480-1554-08 | J2794 | Teva Pharmaceuticals USA, Inc. | 1 | 25 |
| 70121-2626-05 | J2794 | Amneal Pharmaceuticals, LLC | 1 | 50 |
| 70121-2627-05 | J2794 | Amneal Pharmaceuticals, LLC | 1 | 75 |
| 70121-2628-05 | J2794 | Amneal Pharmaceuticals, LLC | 1 | 100 |
| 70748-0270-13 | J2794 | Lupin Pharmaceuticals, Inc. | 1 | 50 |
| 70748-0271-13 | J2794 | Lupin Pharmaceuticals, Inc. | 1 | 75 |
| 70748-0272-13 | J2794 | Lupin Pharmaceuticals, Inc. | 1 | 100 |
Risperidone ER: common questions
- What is the J-code for Risperidone ER?
- Risperidone ER is billed under HCPCS J2794 — Injection, risperidone (risperdal consta), 0.5 mg. One billing unit is 0.5 mg. CMS's crosswalk lists 10 Risperidone ER NDCs under this code.
- How many J2794 billing units are in a package of Risperidone ER?
- 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.