In short

J0463 is the HCPCS Level II code for injection, atropine sulfate (fresenius and therapeutically equivalent), 0.01 mg. CMS assigns NDCs for Atropine Sulfate to it. One billing unit is 0.01 mg. The Medicare Part B payment limit is $0.02 per unit (October 1, 2026 through December 31, 2026).

Code

CMS HCPCS file
HCPCS codeJ0463
Billing unit0.01 mg
Descriptor
Injection, atropine sulfate (fresenius and therapeutically equivalent), 0.01 mg
Short descriptor
Inj atropine (fresenius te)
Code set
HCPCS Level II, maintained by CMS
Effective
Apr 1, 2026

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$0.02
Per0.01 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 ÷ 0.01 mg. For example, 1 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 J0463

CMS’s ASP NDC–HCPCS crosswalk (effective October 1, 2026 through December 31, 2026) assigns 7 NDCs to J0463 for Atropine Sulfate. Billing units per package are CMS’s figures for this code’s unit.

NDCs assigned to J0463 in the CMS ASP crosswalk
DrugNDC (11-digit)LabelerPackageBilling units per package
Atropine Sulfate00404-9804-20Henry Schein Inc.20800
Atropine Sulfate00641-6251-10Hikma Pharmaceuticals USA Inc.10 × 208,000
Atropine Sulfate16729-0512-43Accord Healthcare Inc10 × 208,000
Atropine Sulfate51662-1619-01HF Acquisition Co. LLC, DBA HealthFirst20800
Atropine Sulfate51662-1619-03HF Acquisition Co. LLC, DBA HealthFirst10 × 208,000
Atropine Sulfate63323-0580-20FreseniUS Kabi USA, LLC10 × 208,000
Atropine Sulfate70069-0481-10Somerset Pharma, LLC10 × 208,000

J0463: common questions

Is J0463 a CPT code?
No. J0463 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 J0463?
CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 7 NDCs under J0463, for Atropine Sulfate. The table on this page shows each one with its billing units per package.
What is the Medicare payment limit for J0463?
$0.02 per 0.01 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 J0463?
One unit of J0463 is 0.01 mg, as stated in the code's descriptor. Units to report = dose given ÷ 0.01 mg. J-code billing units.

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