In short

J1120 is the HCPCS Level II code for injection, acetazolamide sodium, up to 500 mg. CMS assigns NDCs for Acetazolamide and Acetazolamide Sodium to it. The Medicare Part B payment limit is $23.951 per unit (October 1, 2026 through December 31, 2026).

Code

CMS HCPCS file
HCPCS codeJ1120
Billing unitSee descriptor
Descriptor
Injection, acetazolamide sodium, up to 500 mg
Short descriptor
Acetazolamid sodium injectio
Code set
HCPCS Level II, maintained by CMS
Effective
Jan 1, 1997

Medicare Part B payment limit

CMS ASP file
Payment limit per unit$23.951
Per500 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.

Enter the units to build the claim line.

NDCs billed under J1120

CMS’s ASP NDC–HCPCS crosswalk (effective October 1, 2026 through December 31, 2026) assigns 7 NDCs to J1120 for Acetazolamide and Acetazolamide Sodium. Billing units per package are CMS’s figures for this code’s unit.

NDCs assigned to J1120 in the CMS ASP crosswalk
DrugNDC (11-digit)LabelerPackageBilling units per package
Acetazolamide25021-0839-20Sagent Pharmaceuticals11
Acetazolamide Sodium00143-9006-01Hikma Pharmaceuticals USA Inc.11
Acetazolamide Sodium00143-9503-01Hikma Pharmaceuticals USA Inc.11
Acetazolamide Sodium23155-0313-31Heritage Pharmaceuticals Inc.11
Acetazolamide Sodium23155-0831-31Heritage Pharmaceuticals Inc.11
Acetazolamide Sodium39822-0190-01XGen Pharmaceuticals DJB, Inc.11
Acetazolamide Sodium67457-0853-50Mylan Institutional LLC11

J1120: common questions

Is J1120 a CPT code?
No. J1120 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 J1120?
CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 7 NDCs under J1120, for Acetazolamide and Acetazolamide Sodium. The table on this page shows each one with its billing units per package.
What is the Medicare payment limit for J1120?
$23.951 per 500 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.

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