No. J0178 is a HCPCS Level II code, maintained by CMS, that identifies the drug supplied. CPT codes are five-digit numbers from the AMA that describe services. Giving the drug, for example an injection or infusion, is usually reported with a separate CPT administration code.

What NDCs are billed under J0178?

CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 2 NDCs under J0178, for Eylea. The table on this page shows each one with its billing units per package.

What is the Medicare payment limit for J0178?

$722.251 per 1 mg, effective October 1, 2026 through December 31, 2026, from CMS's Part B drug payment limit file. Multiply by the units billed for the allowed amount before deductible and coinsurance. It is not a coverage decision.

What is one billing unit of J0178?

One unit of J0178 is 1 mg, as stated in the code's descriptor. Units to report = dose given ÷ 1 mg.

J0178 J-Code: Eylea (aflibercept) — Billing Units

In short

J0178 is the HCPCS Level II code for injection, aflibercept, 1 mg. CMS assigns NDCs for Eylea to it. One billing unit is 1 mg. The Medicare Part B payment limit is $722.251 per unit (October 1, 2026 through December 31, 2026).

Code

Med-Code curated

HCPCS codeJ0178

Billing unit1 mg

Descriptor: Injection, aflibercept, 1 mg
Code set: HCPCS Level II, maintained by CMS
Category: Ophthalmic / Anti-VEGF

Medicare Part B payment limit

CMS ASP file

Payment limit per unit$722.251

Per1 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

Units and claim line

Units = dose given ÷ 1 mg. For example, 100 mg is 100 units. Enter the dose to get the units and the NDC line for the CMS-1500 and the 837P.

Dose given (mg)

HCPCS units (1 unit = 1 mg)

Modifier

NDC (11-digit)

NDC unit qualifier

NDC quantity

Enter the dose given to build the claim line.

Drugs mapped to J0178

FDA-listed products billed under J0178

Finished products in the FDA NDC Directory whose brand or single active ingredient, and route, match this code’s entry.

NDC products matching J0178
Product	Strength	Form · route	Labeler	Product NDC
Eyleaaflibercept	Aflibercept 40 mg/mL	Injection, SolutionIntravitreal	Regeneron Pharmaceuticals, Inc.	61755-005
Pavbluaflibercept-ayyh	Aflibercept 2 mg/.05mL	Injection, SolutionIntravitreal	Amgen, Inc	55513-056
Pavbluaflibercept-ayyh	Aflibercept 2 mg/.05mL	Injection, SolutionIntravitreal	Amgen, Inc	55513-065
Yesafiliaflibercept-jbvf	Aflibercept 2 mg/.05mL	Injection, SolutionIntravitreal	Biocon Biologics Inc.	83257-035

All NDCs for these drugs

NDCs billed under J0178

CMS’s ASP NDC–HCPCS crosswalk (effective October 1, 2026 through December 31, 2026) assigns 2 NDCs to J0178 for Eylea. Billing units per package are CMS’s figures for this code’s unit.

NDCs assigned to J0178 in the CMS ASP crosswalk
Drug	NDC (11-digit)	Labeler	Package	Billing units per package
Eylea	61755-0005-01	Regeneron Pharmaceuticals, Inc.	0.05	2
Eylea	61755-0005-02	Regeneron Pharmaceuticals, Inc.	0.05	2

J0178: common questions

Is J0178 a CPT code?: No. J0178 is a HCPCS Level II code, maintained by CMS, that identifies the drug supplied. CPT codes are five-digit numbers from the AMA that describe services. Giving the drug, for example an injection or infusion, is usually reported with a separate CPT administration code. CPT codes for drug administration.
What NDCs are billed under J0178?: CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 2 NDCs under J0178, for Eylea. The table on this page shows each one with its billing units per package.
What is the Medicare payment limit for J0178?: $722.251 per 1 mg, effective October 1, 2026 through December 31, 2026, from CMS's Part B drug payment limit file. Multiply by the units billed for the allowed amount before deductible and coinsurance. It is not a coverage decision.
What is one billing unit of J0178?: One unit of J0178 is 1 mg, as stated in the code's descriptor. Units to report = dose given ÷ 1 mg. J-code billing units.

J0178 — Injection, aflibercept, 1 mg