HCPCS drug code · CMS crosswalk
Ziprasidone Mesylate J-Code / HCPCS Code
In short
Ziprasidone Mesylate is billed under HCPCS J3486 — Injection, ziprasidone mesylate, 10 mg. One billing unit is 10 mg. CMS's crosswalk lists 6 Ziprasidone Mesylate NDCs under this code.
Reference
- J3486
- Injection, ziprasidone mesylate, 10 mgBilling unit: 10 mg
- Labelers
- Dr. Reddy's Laboratories Inc.; Fosun Pharma USA Inc.; HF Acquisition Co. LLC, DBA HealthFirst; Novadoz Pharmaceuticals LLC
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
Ziprasidone Mesylate units and claim line
Enter the dose given to get the J3486 units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Ziprasidone Mesylate 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 |
|---|---|---|---|---|
| 43598-0061-58 | J3486 | Dr. Reddy's Laboratories Inc. | 10 × 1 | 20 |
| 43598-0848-58 | J3486 | Dr. Reddy's Laboratories Inc. | 10 × 1 | 20 |
| 51662-1564-03 | J3486 | HF Acquisition Co. LLC, DBA HealthFirst | 10 × 1 | 100 |
| 72205-0205-07 | J3486 | Novadoz Pharmaceuticals LLC | 10 × 1 | 20 |
| 72266-0160-10 | J3486 | Fosun Pharma USA Inc. | 10 × 1 | 20 |
| 72266-0160-42 | J3486 | Fosun Pharma USA Inc. | 10 × 1 | 20 |
Ziprasidone Mesylate: common questions
- What is the J-code for Ziprasidone Mesylate?
- Ziprasidone Mesylate is billed under HCPCS J3486 — Injection, ziprasidone mesylate, 10 mg. One billing unit is 10 mg. CMS's crosswalk lists 6 Ziprasidone Mesylate NDCs under this code.
- How many J3486 billing units are in a package of Ziprasidone Mesylate?
- CMS lists 20 to 100 billing units per package, depending on the NDC, where one unit is 10 mg. Units to report are based on the dose given, not the package.
- Is J3486 a CPT code?
- No. J3486 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.