HCPCS drug code · CMS crosswalk
Tirofiban J-Code / HCPCS Code
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.
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 fileEffective 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.
| NDC (11-digit) | HCPCS | Labeler | Package | Billing units per package |
|---|---|---|---|---|
| 14789-0102-05 | J3246 | Nexus Pharmaceuticals, LLC | 250 | 50 |
| 14789-0102-10 | J3246 | Nexus Pharmaceuticals, LLC | 2 × 250 | 100 |
| 25021-0417-84 | J3246 | Sagent Pharmaceuticals | 250 | 50 |
| 55150-0429-01 | J3246 | Eugia US LLC | 100 | 20 |
| 55150-0430-01 | J3246 | Eugia US LLC | 250 | 50 |
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.