HCPCS drug code · CMS crosswalk
Sincalide J-Code / HCPCS Code
In short
Sincalide is billed under HCPCS J2805 — Injection, sincalide, 5 micrograms. One billing unit is 5 mcg. CMS's crosswalk lists 2 Sincalide NDCs under this code.
Reference
- J2805
- Injection, sincalide, 5 microgramsBilling unit: 5 mcg
- Labelers
- Fosun Pharma USA Inc.; FreseniUS Kabi USA, LLC
Medicare Part B payment limit
CMS ASP filePayment limit per unit$145.638
Per5 mcg
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
Sincalide units and claim line
Enter the dose given to get the J2805 units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Sincalide 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 |
|---|---|---|---|---|
| 63323-0579-05 | J2805 | FreseniUS Kabi USA, LLC | 10 × 1 | 10 |
| 72266-0248-05 | J2805 | Fosun Pharma USA Inc. | 5 × 1 | 5 |
Sincalide: common questions
- What is the J-code for Sincalide?
- Sincalide is billed under HCPCS J2805 — Injection, sincalide, 5 micrograms. One billing unit is 5 mcg. CMS's crosswalk lists 2 Sincalide NDCs under this code.
- How many J2805 billing units are in a package of Sincalide?
- CMS lists 5 to 10 billing units per package, depending on the NDC, where one unit is 5 mcg. Units to report are based on the dose given, not the package.
- Is J2805 a CPT code?
- No. J2805 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.