HCPCS drug code · CMS crosswalk
Tezspire J-Code / HCPCS Code
In short
Tezspire is billed under HCPCS J2356 — Injection, tezepelumab-ekko, 1 mg. One billing unit is 1 mg. CMS's crosswalk lists 2 Tezspire NDCs under this code.
Reference
- J2356
- Injection, tezepelumab-ekko, 1 mgBilling unit: 1 mg
- Labelers
- Amgen 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. CMS note: "lesser of" methodology applied. A payment limit is not a coverage decision; the Medicare contractor decides coverage. CMS ASP pricing files
Tezspire units and claim line
Enter the dose given to get the J2356 units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Tezspire 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 |
|---|---|---|---|---|
| 55513-0112-01 | J2356 | Amgen Inc | 1.91 | 210 |
| 55513-0123-01 | J2356 | Amgen Inc | 1.91 | 210 |
Tezspire: common questions
- What is the J-code for Tezspire?
- Tezspire is billed under HCPCS J2356 — Injection, tezepelumab-ekko, 1 mg. One billing unit is 1 mg. CMS's crosswalk lists 2 Tezspire NDCs under this code.
- How many J2356 billing units are in a package of Tezspire?
- CMS lists 210 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 J2356 a CPT code?
- No. J2356 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.