HCPCS drug code · CMS crosswalk
Trexall J-Code / HCPCS Code
In short
Trexall is billed under HCPCS J8610 — Methotrexate; oral, 2.5 mg. One billing unit is 2.5 mg. CMS's crosswalk lists 4 Trexall NDCs under this code.
Reference
- J8610
- Methotrexate; oral, 2.5 mgBilling unit: 2.5 mg
- Labelers
- Teva Women's Health LLC
Medicare Part B payment limit
CMS ASP filePayment limit per unit$0.157
Per2.5 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
Trexall units and claim line
Enter the dose given to get the J8610 units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Trexall 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 |
|---|---|---|---|---|
| 51285-0366-01 | J8610 | Teva Women's Health LLC | 30 | 60 |
| 51285-0367-01 | J8610 | Teva Women's Health LLC | 30 | 90 |
| 51285-0368-01 | J8610 | Teva Women's Health LLC | 30 | 120 |
| 51285-0369-01 | J8610 | Teva Women's Health LLC | 30 | 180 |
Trexall: common questions
- What is the J-code for Trexall?
- Trexall is billed under HCPCS J8610 — Methotrexate; oral, 2.5 mg. One billing unit is 2.5 mg. CMS's crosswalk lists 4 Trexall NDCs under this code.
- How many J8610 billing units are in a package of Trexall?
- CMS lists 60 to 180 billing units per package, depending on the NDC, where one unit is 2.5 mg. Units to report are based on the dose given, not the package.
- Is J8610 a CPT code?
- No. J8610 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.