In short

Tirofiban is billed under HCPCS J3246 — Injection, tirofiban hcl, 0.25 mg. One billing unit is 0.25 mg. CMS's crosswalk lists 5 Tirofiban NDCs under this code.

J3246 code details

Reference

J3246
Injection, tirofiban hcl, 0.25 mgBilling unit: 0.25 mg
Labelers
Eugia US LLC; Nexus Pharmaceuticals, LLC; Sagent Pharmaceuticals

Medicare Part B payment limit

CMS ASP file
Payment limit per unit$2.615
Per0.25 mg
Coinsurance20%

Effective October 1, 2026 through December 31, 2026. Payment allowance limits subject to the ASP methodology are based on 2Q26 ASP data. CMS note: Please see the NDC-HCPCS crosswalk for payable NDCs associated with this code. A payment limit is not a coverage decision; the Medicare contractor decides coverage. CMS ASP pricing files

Tirofiban units and claim line

Enter the dose given to get the J3246 units and the NDC line for the CMS-1500 and the 837P.

Enter the dose given to build the claim line.

Tirofiban 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.

Tirofiban NDCs in the CMS ASP crosswalk
NDC (11-digit)HCPCSLabelerPackageBilling units per package
14789-0102-05J3246Nexus Pharmaceuticals, LLC25050
14789-0102-10J3246Nexus Pharmaceuticals, LLC2 × 250100
25021-0417-84J3246Sagent Pharmaceuticals25050
55150-0429-01J3246Eugia US LLC10020
55150-0430-01J3246Eugia US LLC25050

Tirofiban: common questions

What is the J-code for Tirofiban?
Tirofiban is billed under HCPCS J3246 — Injection, tirofiban hcl, 0.25 mg. One billing unit is 0.25 mg. CMS's crosswalk lists 5 Tirofiban NDCs under this code.
How many J3246 billing units are in a package of Tirofiban?
CMS lists 20 to 100 billing units per package, depending on the NDC, where one unit is 0.25 mg. Units to report are based on the dose given, not the package.
Is J3246 a CPT code?
No. J3246 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.

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