HCPCS drug code · CMS crosswalk
Tigecycline J-Code / HCPCS Code
In short
Tigecycline is billed under HCPCS J3243 — Injection, tigecycline, 1 mg. One billing unit is 1 mg. CMS's crosswalk lists 7 Tigecycline NDCs under this code.
Reference
- J3243
- Injection, tigecycline, 1 mgBilling unit: 1 mg
- Labelers
- Amneal Pharmaceuticals, LLC; Apotex Corp; Eugia US LLC; Meitheal Pharmaceuticals Inc.; Pfizer Inc; Sandoz Inc.
Medicare Part B payment limit
CMS ASP filePayment limit per unit$0.479
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
Tigecycline units and claim line
Enter the dose given to get the J3243 units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Tigecycline 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 |
|---|---|---|---|---|
| 00008-4990-20 | J3243 | Pfizer Inc | 10 × 1 | 500 |
| 00008-4994-20 | J3243 | Pfizer Inc | 10 × 1 | 500 |
| 00781-3481-92 | J3243 | Sandoz Inc. | 10 × 1 | 500 |
| 55150-0228-10 | J3243 | Eugia US LLC | 10 × 1 | 500 |
| 60505-6098-01 | J3243 | Apotex Corp | 10 × 1 | 500 |
| 70121-1647-07 | J3243 | Amneal Pharmaceuticals, LLC | 10 × 1 | 500 |
| 71288-0019-11 | J3243 | Meitheal Pharmaceuticals Inc. | 10 × 1 | 500 |
Tigecycline: common questions
- What is the J-code for Tigecycline?
- Tigecycline is billed under HCPCS J3243 — Injection, tigecycline, 1 mg. One billing unit is 1 mg. CMS's crosswalk lists 7 Tigecycline NDCs under this code.
- How many J3243 billing units are in a package of Tigecycline?
- CMS lists 500 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 J3243 a CPT code?
- No. J3243 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.