HCPCS drug code · CMS crosswalk
Simponi Aria J-Code / HCPCS Code
In short
Simponi Aria is billed under HCPCS J1602 — Injection, golimumab, 1 mg, for intravenous use. One billing unit is 1 mg. CMS's crosswalk lists 1 Simponi Aria NDC under this code.
Reference
- J1602
- Injection, golimumab, 1 mg, for intravenous useBilling unit: 1 mg
- Labelers
- Janssen Biotech, Inc.
Medicare Part B payment limit
CMS ASP filePayment limit per unit$10.978
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
Simponi Aria units and claim line
Enter the dose given to get the J1602 units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Simponi Aria 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 |
|---|---|---|---|---|
| 57894-0350-01 | J1602 | Janssen Biotech, Inc. | 4 | 50 |
Simponi Aria: common questions
- What is the J-code for Simponi Aria?
- Simponi Aria is billed under HCPCS J1602 — Injection, golimumab, 1 mg, for intravenous use. One billing unit is 1 mg. CMS's crosswalk lists 1 Simponi Aria NDC under this code.
- How many J1602 billing units are in a package of Simponi Aria?
- CMS lists 50 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 J1602 a CPT code?
- No. J1602 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.