In short

Sylvant is billed under HCPCS J2860 — Injection, siltuximab, 10 mg. One billing unit is 10 mg. CMS's crosswalk lists 2 Sylvant NDCs under this code.

J2860 code details

Reference

J2860
Injection, siltuximab, 10 mgBilling unit: 10 mg
Labelers
EUSA Pharma (UK) Ltd

Medicare Part B payment limit

CMS ASP file
Payment limit per unit$178.427
Per10 mg
Coinsurance17.398%

Effective October 1, 2026 through December 31, 2026. Payment allowance limits subject to the ASP methodology are based on 2Q26 ASP data. CMS note: Inflation-adjusted coinsurance. A payment limit is not a coverage decision; the Medicare contractor decides coverage. CMS ASP pricing files

Sylvant units and claim line

Enter the dose given to get the J2860 units and the NDC line for the CMS-1500 and the 837P.

Enter the dose given to build the claim line.

Sylvant 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.

Sylvant NDCs in the CMS ASP crosswalk
NDC (11-digit)HCPCSLabelerPackageBilling units per package
73090-0420-01J2860EUSA Pharma (UK) Ltd110
73090-0421-01J2860EUSA Pharma (UK) Ltd140

Sylvant: common questions

What is the J-code for Sylvant?
Sylvant is billed under HCPCS J2860 — Injection, siltuximab, 10 mg. One billing unit is 10 mg. CMS's crosswalk lists 2 Sylvant NDCs under this code.
How many J2860 billing units are in a package of Sylvant?
CMS lists 10 to 40 billing units per package, depending on the NDC, where one unit is 10 mg. Units to report are based on the dose given, not the package.
Is J2860 a CPT code?
No. J2860 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.

Related

Free account

Keep searching with a free account

You’ve used your 3 free searches for this session. Log in or create a free Med-Code account to keep looking up NDCs, J-codes and drugs.

Create a free accountLog in