HCPCS Level II drug code
J0588 — Injection, incobotulinumtoxin a, 1 unit
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- 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 fileEffective 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.
| Drug | NDC (11-digit) | Labeler | Package | Billing units per package |
|---|---|---|---|---|
| Xeomin | 00259-1605-01 | Merz Pharmaceuticals, LLC | 1 | 50 |
| Xeomin | 00259-1610-01 | Merz Pharmaceuticals, LLC | 1 | 100 |
| Xeomin | 00259-1620-01 | Merz Pharmaceuticals, LLC | 1 | 200 |
| Xeomin | 46783-0160-01 | Merz North America, Inc. | 1 | 100 |
| Xeomin | 46783-0161-01 | Merz North America, Inc. | 1 | 50 |
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.