In short

J0588 is the HCPCS Level II code for injection, incobotulinumtoxin a, 1 unit. CMS assigns NDCs for Xeomin to it. One billing unit is 1 unit. The Medicare Part B payment limit is $5.262 per unit (October 1, 2026 through December 31, 2026).

Code

CMS HCPCS file
HCPCS codeJ0588
Billing unit1 unit
Descriptor
Injection, incobotulinumtoxin a, 1 unit
Short descriptor
Incobotulinumtoxin a
Code set
HCPCS Level II, maintained by CMS
Effective
Jan 1, 2012

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$5.262
Per1 unit
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 unit. For example, 100 unit 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 J0588

CMS’s ASP NDC–HCPCS crosswalk (effective October 1, 2026 through December 31, 2026) assigns 5 NDCs to J0588 for Xeomin. Billing units per package are CMS’s figures for this code’s unit.

NDCs assigned to J0588 in the CMS ASP crosswalk
DrugNDC (11-digit)LabelerPackageBilling units per package
Xeomin00259-1605-01Merz Pharmaceuticals, LLC150
Xeomin00259-1610-01Merz Pharmaceuticals, LLC1100
Xeomin00259-1620-01Merz Pharmaceuticals, LLC1200
Xeomin46783-0160-01Merz North America, Inc.1100
Xeomin46783-0161-01Merz North America, Inc.150

J0588: common questions

Is J0588 a CPT code?
No. J0588 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 J0588?
CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 5 NDCs under J0588, for Xeomin. The table on this page shows each one with its billing units per package.
What is the Medicare payment limit for J0588?
$5.262 per 1 unit, 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 J0588?
One unit of J0588 is 1 unit, as stated in the code's descriptor. Units to report = dose given ÷ 1 unit. J-code billing units.

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