In short

J0216 is the HCPCS Level II code for injection, alfentanil hydrochloride, 500 micrograms. One billing unit is 500 micrograms.

Code

CMS HCPCS file
HCPCS codeJ0216
Billing unit500 micrograms
Descriptor
Injection, alfentanil hydrochloride, 500 micrograms
Short descriptor
Inj, alfentanil hcl, 500mcg
Code set
HCPCS Level II, maintained by CMS
Effective
Jul 1, 2023

The billing unit is read from the descriptor. Confirm it against the CMS file before billing.

Units and claim line

Enter the dose to get the units and the NDC line for the CMS-1500 and the 837P.

Enter the units to build the claim line.

Find the NDC

Med-Code hasn’t mapped J0216 to specific products yet. Search the FDA NDC Directory for the drug named in the descriptor, and check the route and strength match the code.

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J0216: common questions

Is J0216 a CPT code?
No. J0216 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 is one billing unit of J0216?
One unit of J0216 is 500 micrograms, as stated in the code's descriptor. Units to report = dose given ÷ 500 micrograms. J-code billing units.

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