In short

J0285 is the HCPCS Level II code for injection, amphotericin b, 50 mg. CMS assigns NDCs for Amphotericin B to it. One billing unit is 50 mg. The Medicare Part B payment limit is $42.474 per unit (October 1, 2026 through December 31, 2026).

Code

CMS HCPCS file
HCPCS codeJ0285
Billing unit50 mg
Descriptor
Injection, amphotericin b, 50 mg
Short descriptor
Amphotericin b
Code set
HCPCS Level II, maintained by CMS
Effective
Jan 1, 1999

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

Medicare Part B payment limit

CMS ASP file
Payment limit per unit$42.474
Per50 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 ÷ 50 mg. For example, 5000 mg is 100 units. Enter the dose to get the units and the NDC line for the CMS-1500 and the 837P.

Enter the dose given to build the claim line.

NDCs billed under J0285

CMS’s ASP NDC–HCPCS crosswalk (effective October 1, 2026 through December 31, 2026) assigns 1 NDC to J0285 for Amphotericin B. Billing units per package are CMS’s figures for this code’s unit.

NDCs assigned to J0285 in the CMS ASP crosswalk
DrugNDC (11-digit)LabelerPackageBilling units per package
Amphotericin B39822-1055-05XGen Pharmaceuticals DJB, Inc.11

J0285: common questions

Is J0285 a CPT code?
No. J0285 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 J0285?
CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 1 NDC under J0285, for Amphotericin B. The table on this page shows each one with its billing units per package.
What is the Medicare payment limit for J0285?
$42.474 per 50 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 J0285?
One unit of J0285 is 50 mg, as stated in the code's descriptor. Units to report = dose given ÷ 50 mg. J-code billing units.

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