No. J0780 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 J0780?

CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 18 NDCs under J0780, for Prochlorperazine Edisylate. The table on this page shows each one with its billing units per package.

What is the Medicare payment limit for J0780?

$2.475 per 10 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.

J0780 J-Code: Prochlorperazine — Billing Units & NDCs

In short

J0780 is the HCPCS Level II code for injection, prochlorperazine, up to 10 mg. CMS assigns NDCs for Prochlorperazine Edisylate to it. The Medicare Part B payment limit is $2.475 per unit (October 1, 2026 through December 31, 2026).

Code

CMS HCPCS file

HCPCS codeJ0780

Billing unitSee descriptor

Descriptor: Injection, prochlorperazine, up to 10 mg
Short descriptor: Prochlorperazine injection
Code set: HCPCS Level II, maintained by CMS
Effective: Jan 1, 1997

Medicare Part B payment limit

CMS ASP file

Payment limit per unit$2.475

Per10 mg

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

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.

NDCs billed under J0780

CMS’s ASP NDC–HCPCS crosswalk (effective October 1, 2026 through December 31, 2026) assigns 18 NDCs to J0780 for Prochlorperazine Edisylate. Billing units per package are CMS’s figures for this code’s unit.

NDCs assigned to J0780 in the CMS ASP crosswalk
Drug	NDC (11-digit)	Labeler	Package	Billing units per package
Prochlorperazine Edisylate	00641-6135-25	Hikma Pharmaceuticals USA Inc.	25 × 2	25
Prochlorperazine Edisylate	14789-0700-02	Nexus Pharmaceuticals, LLC	10 × 2	10
Prochlorperazine Edisylate	23155-0294-41	Heritage Pharmaceuticals Inc.	25 × 2	25
Prochlorperazine Edisylate	23155-0294-42	Heritage Pharmaceuticals Inc.	10 × 2	10
Prochlorperazine Edisylate	23155-0497-42	Heritage Pharmaceuticals Inc.	10 × 2	10
Prochlorperazine Edisylate	23155-0523-41	Heritage Pharmaceuticals Inc.	10 × 2	10
Prochlorperazine Edisylate	25021-0790-02	Sagent Pharmaceuticals	10 × 2	10
Prochlorperazine Edisylate	25021-0790-03	Sagent Pharmaceuticals	25 × 2	25
Prochlorperazine Edisylate	43066-0090-25	Baxter Healthcare Corporation	25 × 2	25
Prochlorperazine Edisylate	51662-1558-03	HF Acquisition Co. LLC, DBA HealthFirst	25 × 2	25
Prochlorperazine Edisylate	65145-0119-10	Caplin Steriles USA Inc.	10 × 2	10
Prochlorperazine Edisylate	67457-0640-02	Mylan Institutional LLC	25 × 2	25
Prochlorperazine Edisylate	67457-0640-99	Mylan Institutional LLC	10 × 2	10
Prochlorperazine Edisylate	70069-0371-25	Somerset Pharma, LLC	25 × 2	25
Prochlorperazine Edisylate	70860-0778-02	Athenex Pharmaceutical Division, LLC	10 × 2	10
Prochlorperazine Edisylate	72266-0204-10	Fosun Pharma USA Inc.	10 × 2	10
Prochlorperazine Edisylate	72572-0580-25	Civica, Inc.	25 × 2	25
Prochlorperazine Edisylate	83634-0778-02	Avenacy Inc.	10 × 2	10

J0780: common questions

Is J0780 a CPT code?: No. J0780 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 J0780?: CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 18 NDCs under J0780, for Prochlorperazine Edisylate. The table on this page shows each one with its billing units per package.
What is the Medicare payment limit for J0780?: $2.475 per 10 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.

J0780 — Injection, prochlorperazine, up to 10 mg