In short

J0741 is the HCPCS Level II code for injection, cabotegravir and rilpivirine, 2mg/3mg. CMS assigns NDCs for Cabenuva to it. One billing unit is 2mg/3mg. The Medicare Part B payment limit is $24.649 per unit (October 1, 2026 through December 31, 2026).

Code

CMS HCPCS file
HCPCS codeJ0741
Billing unit2mg/3mg
Descriptor
Injection, cabotegravir and rilpivirine, 2mg/3mg
Short descriptor
Inj, cabote rilpivir 2mg 3mg
Code set
HCPCS Level II, maintained by CMS
Effective
Oct 1, 2021

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$24.649
Per2mg/3mg
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 ÷ 2mg/3mg. For example, 200 mg 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 J0741

CMS’s ASP NDC–HCPCS crosswalk (effective October 1, 2026 through December 31, 2026) assigns 2 NDCs to J0741 for Cabenuva. Billing units per package are CMS’s figures for this code’s unit.

NDCs assigned to J0741 in the CMS ASP crosswalk
DrugNDC (11-digit)LabelerPackageBilling units per package
Cabenuva49702-0240-15ViiV Healthcare Company6300
Cabenuva49702-0253-15ViiV Healthcare Company4200

J0741: common questions

Is J0741 a CPT code?
No. J0741 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 J0741?
CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 2 NDCs under J0741, for Cabenuva. The table on this page shows each one with its billing units per package.
What is the Medicare payment limit for J0741?
$24.649 per 2mg/3mg, 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 J0741?
One unit of J0741 is 2mg/3mg, as stated in the code's descriptor. Units to report = dose given ÷ 2mg/3mg. J-code billing units.

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