No. J0716 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 is the Medicare payment limit for J0716?

$5,449.649 per up to 120mg, 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.

J0716 J-Code: Centruroides immune f2 — Billing Units

In short

J0716 is the HCPCS Level II code for injection, centruroides immune f(ab)2, up to 120 milligrams. The Medicare Part B payment limit is $5,449.649 per unit (October 1, 2026 through December 31, 2026).

Code

CMS HCPCS file

HCPCS codeJ0716

Billing unitSee descriptor

Descriptor: Injection, centruroides immune f(ab)2, up to 120 milligrams
Short descriptor: Centruroides immune f(ab)
Code set: HCPCS Level II, maintained by CMS
Effective: Jan 1, 2013

Medicare Part B payment limit

CMS ASP file

Payment limit per unit$5,449.649

Perup to 120mg

Coinsurance20%

Effective October 1, 2026 through December 31, 2026. Payment allowance limits subject to the ASP methodology are based on 2Q26 ASP data. CMS note: Added October 2026. A payment limit is not a coverage decision; the Medicare contractor decides coverage. CMS ASP pricing files

Units and claim line

Enter the dose to get the units and the NDC line for the CMS-1500 and the 837P.

HCPCS units

Modifier

NDC (11-digit)

NDC unit qualifier

NDC quantity

Enter the units to build the claim line.

Find the NDC

Med-Code hasn’t mapped J0716 to specific products yet. Search the FDA NDC Directory for the drug named in the descriptor, and check the route and strength match the code.

Search NDCs for centruroides immune f2

J0716: common questions

Is J0716 a CPT code?: No. J0716 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 is the Medicare payment limit for J0716?: $5,449.649 per up to 120mg, 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.

J0716 — Injection, centruroides immune f(ab)2, up to 120 milligrams