No. J0651 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.

What NDCs are billed under J0651?

CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 5 NDCs under J0651, for Levothyroxine Sodium. The table on this page shows each one with its billing units per package.

What is the Medicare payment limit for J0651?

$7.079 per 10 mcg, 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 J0651?

One unit of J0651 is 10 mcg, as stated in the code's descriptor. Units to report = dose given ÷ 10 mcg.

J0651 J-Code: Levothyroxine sodium — Billing Units & NDCs

In short

J0651 is the HCPCS Level II code for injection, levothyroxine sodium (fresenius kabi), not therapeutically equivalent to j0650, 10 mcg. CMS assigns NDCs for Levothyroxine Sodium to it. One billing unit is 10 mcg. The Medicare Part B payment limit is $7.079 per unit (October 1, 2026 through December 31, 2026).

Code

CMS HCPCS file

HCPCS codeJ0651

Billing unit10 mcg

Descriptor: Injection, levothyroxine sodium (fresenius kabi), not therapeutically equivalent to j0650, 10 mcg
Short descriptor: Inj, levothyroxine, freskabi
Code set: HCPCS Level II, maintained by CMS
Effective: Jul 1, 2024

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$7.079

Per10 mcg

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 ÷ 10 mcg. For example, 1000 mcg is 100 units. Enter the dose to get the units and the NDC line for the CMS-1500 and the 837P.

Dose given (mcg)

HCPCS units (1 unit = 10 mcg)

Modifier

NDC (11-digit)

NDC unit qualifier

NDC quantity

Enter the dose given to build the claim line.

NDCs billed under J0651

CMS’s ASP NDC–HCPCS crosswalk (effective October 1, 2026 through December 31, 2026) assigns 5 NDCs to J0651 for Levothyroxine Sodium. Billing units per package are CMS’s figures for this code’s unit.

NDCs assigned to J0651 in the CMS ASP crosswalk
Drug	NDC (11-digit)	Labeler	Package	Billing units per package
Levothyroxine Sodium	63323-0885-10	FreseniUS Kabi USA, LLC	5	10
Levothyroxine Sodium	63323-0885-12	FreseniUS Kabi USA, LLC	5	10
Levothyroxine Sodium	63323-0885-14	FreseniUS Kabi USA, LLC	5	10
Levothyroxine Sodium	63323-0890-10	FreseniUS Kabi USA, LLC	5	20
Levothyroxine Sodium	63323-0895-10	FreseniUS Kabi USA, LLC	5	50

J0651: common questions

Is J0651 a CPT code?: No. J0651 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 J0651?: CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 5 NDCs under J0651, for Levothyroxine Sodium. The table on this page shows each one with its billing units per package.
What is the Medicare payment limit for J0651?: $7.079 per 10 mcg, 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 J0651?: One unit of J0651 is 10 mcg, as stated in the code's descriptor. Units to report = dose given ÷ 10 mcg. J-code billing units.

J0651 — Injection, levothyroxine sodium (fresenius kabi), not therapeutically equivalent to j0650, 10 mcg