HCPCS drug code · CMS crosswalk
Tyvaso J-Code / HCPCS Code
In short
Tyvaso is billed under HCPCS J7686 — Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg. One billing unit is 1.74 mg. CMS's crosswalk lists 4 Tyvaso NDCs under this code.
Reference
- J7686
- Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mgBilling unit: 1.74 mg
- Labelers
- United Therapeutics Corporation
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. A payment limit is not a coverage decision; the Medicare contractor decides coverage. CMS ASP pricing files
Tyvaso units and claim line
Enter the dose given to get the J7686 units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Tyvaso 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 |
|---|---|---|---|---|
| 66302-0206-01 | J7686 | United Therapeutics Corporation | 28 × 2.9 | 28 |
| 66302-0206-02 | J7686 | United Therapeutics Corporation | 28 × 2.9 | 28 |
| 66302-0206-03 | J7686 | United Therapeutics Corporation | 4 × 2.9 | 4 |
| 66302-0206-04 | J7686 | United Therapeutics Corporation | 4 × 2.9 | 4 |
Tyvaso: common questions
- What is the J-code for Tyvaso?
- Tyvaso is billed under HCPCS J7686 — Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg. One billing unit is 1.74 mg. CMS's crosswalk lists 4 Tyvaso NDCs under this code.
- How many J7686 billing units are in a package of Tyvaso?
- CMS lists 4 to 28 billing units per package, depending on the NDC, where one unit is 1.74 mg. Units to report are based on the dose given, not the package.
- Is J7686 a CPT code?
- No. J7686 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.