No. J0717 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 J0717?

CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 4 NDCs under J0717, for Cimzia. The table on this page shows each one with its billing units per package.

What is the Medicare payment limit for J0717?

$3.14 per 1 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 J0717?

One unit of J0717 is 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, as stated in the code's descriptor. Units to report = dose given ÷ 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician.

J0717 J-Code: Cimzia (certolizumab pegol) — Billing Units

In short

J0717 is the HCPCS Level II code for injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered). CMS assigns NDCs for Cimzia to it. One billing unit is 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician. The Medicare Part B payment limit is $3.14 per unit (October 1, 2026 through December 31, 2026).

Code

CMS HCPCS file

HCPCS codeJ0717

Billing unit1 mg (code may be used for medicare when drug administered under the direct supervision of a physician

Descriptor: Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)
Short descriptor: Certolizumab pegol inj 1mg
Code set: HCPCS Level II, maintained by CMS
Effective: Jan 1, 2014

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$3.14

Per1 mg

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: "lesser of" methodology applied. 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 mg (code may be used for medicare when drug administered under the direct supervision of a physician. For example, 100 mg is 100 units. Enter the dose to get the units and the NDC line for the CMS-1500 and the 837P.

Dose given (mg)

HCPCS units (1 unit = 1 mg)

Modifier

NDC (11-digit)

NDC unit qualifier

NDC quantity

Enter the dose given to build the claim line.

NDCs billed under J0717

CMS’s ASP NDC–HCPCS crosswalk (effective October 1, 2026 through December 31, 2026) assigns 4 NDCs to J0717 for Cimzia. Billing units per package are CMS’s figures for this code’s unit.

NDCs assigned to J0717 in the CMS ASP crosswalk
Drug	NDC (11-digit)	Labeler	Package	Billing units per package
Cimzia	50474-0700-62	UCB, Inc.	2 × 1	400
Cimzia	50474-0710-79	UCB, Inc.	2 × 1	400
Cimzia	50474-0710-81	UCB, Inc.	6 × 1	1,200
Cimzia	50474-0750-10	UCB, INC.	1	200

J0717: common questions

Is J0717 a CPT code?: No. J0717 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 J0717?: CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 4 NDCs under J0717, for Cimzia. The table on this page shows each one with its billing units per package.
What is the Medicare payment limit for J0717?: $3.14 per 1 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 J0717?: One unit of J0717 is 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, as stated in the code's descriptor. Units to report = dose given ÷ 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician. J-code billing units.

J0717 — Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)